Healthcare Provider Details
I. General information
NPI: 1851556781
Provider Name (Legal Business Name): RACHEL ANNA SCHEPERLE AUD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2008
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
555 N 30TH ST
OMAHA NE
68131-2136
US
IV. Provider business mailing address
1 CHILDRENS PL
SAINT LOUIS MO
63110-1081
US
V. Phone/Fax
- Phone: 402-498-6741
- Fax: 402-452-5015
- Phone: 314-454-6171
- Fax: 314-454-4097
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 900747 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 2019013498 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: