Jennifer Gutzwiller
Individual provider Active NPI Audiologist · Kearney, NE
NPI 1629309596 · NPPES record last updated Jan 16, 2010
Key facts
- NPI
- 1629309596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 188 (NE)
- Practice address
- 76 Plaza Blvd
Kearney, NE 68845-4841 - Phone
- (308) 237-5927
- Fax
- (308) 237-5920
- NPI assigned
- Jan 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Educational Service Unit 10 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 188 | NE | Yes |
Addresses
Primary practice location
76 Plaza Blvd
Kearney, NE 68845-4841
Mailing address
7925 Turkey Creek Rd
Elm Creek, NE 68836-7563
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.