Provider Demographics
NPI:1477600765
Name:JOYCE, KIMBERLY A (MA)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:A
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:A
Other - Last Name:PREISSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-280-8100
Mailing Address - Fax:402-280-8103
Practice Address - Street 1:555 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2136
Practice Address - Country:US
Practice Address - Phone:402-498-6540
Practice Address - Fax:402-498-6357
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE161231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0585117Medicaid
IA0585125Medicaid
IA5585117Medicaid
IA7585117Medicaid
IA2585125Medicaid
NE36812OtherBCBS ENT
IA6585117Medicaid
IA8585117Medicaid
IA1585117Medicaid
IA1585125Medicaid
IA3585117Medicaid
IA3585125Medicaid
NE36847OtherBCBS BT
IA2585117Medicaid
IA4585117Medicaid
IA9585117Medicaid
NE36847OtherBCBS BT
NE272403Medicare ID - Type Unspecified