Active NPI
Cynthia Ann Johnson, AU.D
- Other Specialist/Technologist
- Omaha, NE
National Provider Identifier
1861595191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 031
- Practice address
- 8200 Dodge St
Omaha, NE 68114-4113 - Phone
- (402) 955-3993
- Fax
- (402) 955-5368
- NPI assigned
- Sep 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 128 | NE | |
| Audiologist-Hearing Aid Fitter | 237600000X | 128 | NE | |
| Other Specialist/Technologist | 246Z00000X | 031 | NE | Primary |
Addresses
Primary practice location
8200 Dodge St
Omaha, NE 68114-4113
Mailing address
8200 Dodge St
Omaha, NE 68114-4113
Phone (402) 955-3993
Other practice location 1
18010 R Plz Ste 107
Omaha, NE 68135-1923
Phone (402) 318-7863
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025151400 | Medicaid | NE | |
| 37012 | Other | NE | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050627001066 | NE | Practitioner - Qualified Audiologist | 2365487626 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Active Hearing Health
Practice addresses (Care Compare)
18010 R PLZ
Suite 107
Omaha, NE 68135-1923
Phone (402) 318-7863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128 | NE | MD | Registered Dietitian |
| 031 | NE | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Hearing Health | Audiologist | Current | Accepting new patients |
Locations
18010 R Plz
Ste 107
Omaha, NE 68135
Phone (402) 318-7863
Organizations & group practices 1
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.
-
- Audiologist
- Omaha, NE
- NPI 1245840966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1861595191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-3993",
"fax_number": "402-955-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-3993",
"fax_number": "402-955-5368"
}
],
"practiceLocations": [
{
"address_1": "18010 R Plz Ste 107",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681351923",
"country_code": "US",
"telephone_number": "402-318-7863",
"fax_number": "402-318-7885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "128",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NE",
"license": "128",
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "NE",
"license": "031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025151400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "37012",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.