Provider Demographics
NPI:1487875613
Name:BRINGEWATT, RACHEL MARIE (MA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MARIE
Last Name:BRINGEWATT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:MARTINDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:415 E 23RD ST STE A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2393
Mailing Address - Country:US
Mailing Address - Phone:402-721-8960
Mailing Address - Fax:402-322-8475
Practice Address - Street 1:415 E 23RD ST STE A
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2393
Practice Address - Country:US
Practice Address - Phone:402-721-8960
Practice Address - Fax:402-322-8475
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE297231H00000X
NE119237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025771100Medicaid