Active NPI
Ellen Alexandra Hatala, AU.D.
- Audiologist
- Boys Town, NE
National Provider Identifier
1902391337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 088107
- Practice address
- 14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513 - Phone
- (402) 778-6800
- NPI assigned
- Jun 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 088107 | IA | Primary |
Addresses
Primary practice location
14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Mailing address
3640 Honey Hill Dr SE
Cedar Rapids, IA 52403-1920
Phone (319) 721-2379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1902391337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 HONEY HILL DR SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524031920",
"telephone_number": "319-721-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 BOYS TOWN HOSPITAL RD",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680107513",
"telephone_number": "402-778-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATALA",
"first_name": "ELLEN",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "088107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boys Town, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.