Active NPI
Katelin Anne Nightman, AUD
- Audiologist
- Vermillion, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD000208
- Practice address
- 414 E Clark St
Vermillion, SD 57069 - Phone
- (605) 658-3874
- Fax
- (605) 658-3359
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01440 | MD | |
| Audiologist | 231H00000X | AUD000208 | DC | Primary |
Addresses
Primary practice location
414 E Clark St
Vermillion, SD 57069
Mailing address
414 E Clark St
Vermillion, SD 57069
Phone (605) 658-3874
Other names 1
- Dr. Katelin Anne Archer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14040 Boys Town Hospital Rd
Suite 200
Boys Town, NE 68010-7521
Phone (531) 355-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01440 | MD | MD | Audiologist |
| 453 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Audiologist | Current | Accepting new patients |
| Father Flanagan'S Boys Home | Past | Accepting new patients | |
| ENT Services PC | Audiologist | Past | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800
14040 Boys Town Hospital Rd
Ste 200
Boys Town, NE 68010
Phone (531) 355-6800
7205 W Center Rd
Ste 103
Omaha, NE 68124
Phone (402) 392-7600
555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Boys Town, NE
- NPI 1265405419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1609334648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E CLARK ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "57069",
"telephone_number": "605-658-3874",
"fax_number": "605-658-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E CLARK ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "57069",
"telephone_number": "605-658-3874",
"fax_number": "605-658-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGHTMAN",
"first_name": "KATELIN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01440",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DC",
"license": "AUD000208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELIN",
"last_name": "ARCHER",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vermillion, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.