Individual provider Active NPI

Lori Jean Dailey, MD CCCA

  • Audiologist-Hearing Aid Fitter
  • Fremont, NE
National Provider Identifier
1912044819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
415 E 23Rd St
Suite a
Fremont, NE 68025-2393
Phone
(402) 721-8960
Fax
(402) 727-9574
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

415 E 23Rd St
Suite a
Fremont, NE 68025-2393

Mailing address

415 E 23Rd St
Suite a
Fremont, NE 68025-2393
Phone (402) 721-8960

Other identifiers 1

IdentifierTypeStateIssuer
06613OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000462 NE Practitioner - Qualified Audiologist 6204013188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 E 23Rd St
Suite 100
Fremont, NE 68025-2393
Phone (402) 721-8960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
632NEMDMental Health Counselor
112NEMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dailey Hearing Center PC Audiologist-Hearing Aid Fitter CurrentSince Apr 1, 2012 Accepting new patients
Professional Hearing Center, PC Audiologist-Hearing Aid Fitter CurrentSince Apr 1, 2012 Accepting new patients
Professional Hearing Ctr PC Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

415 E 23rd St
Ste 100
Fremont, NE 68025
Phone (402) 721-8960

415 E 23rd St
Ste 100A
Fremont, NE 68025

415 E 23rd St
Ste A
Fremont, NE 68025
Phone (402) 721-8960

2808 S 80th Ave
Ste 140
Omaha, NE 68124
Phone (402) 505-6868

530 N Broadway St
Wahoo, NE 68066
Phone (402) 443-1108

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912044819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-721-8960",
            "fax_number": "402-727-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-721-8960",
            "fax_number": "402-727-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MD CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06613",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.