Healthcare Provider Details

I. General information

NPI: 1891843140
Provider Name (Legal Business Name): KRISSA L DOWNEY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISSA L REISER AU.D.

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8005 FARNAM DRIVE SUITE 204
OMAHA NE
68114
US

IV. Provider business mailing address

8005 FARNAM DRIVE SUITE 204
OMAHA NE
68114
US

V. Phone/Fax

Practice location:
  • Phone: 402-502-6970
  • Fax: 402-502-6930
Mailing address:
  • Phone: 402-502-6970
  • Fax: 402-502-6930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number248
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: