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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OMALLAH BUSH AUD
NPI 1093719874
Audiologist in Raleigh, NC

Active since June 09, 2005
4201 LAKE BOONE TRL STE 105, RALEIGH, NC 27607(919) 782-7112(919) 789-9560 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Jan 15, 2018 (2 updates tracked since 2018).

About Omallah Bush Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMALLAH BUSH AUD (NPI 1093719874) is an individual audiologist in Raleigh, North Carolina, licensed in North Carolina (30005672) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1093719874
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameOMALLAH BUSHCredential: AUD
Location Address4201 LAKE BOONE TRL STE 105Raleigh, NC 27607-7511
Mailing Address580 Howard AveSomerset, NJ 08873-1113
Phone(919) 782-7112
Fax(919) 789-9560
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1093719874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NC · 30005672
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
4201 LAKE BOONE TRL STE 105, Raleigh, NC 27607
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER ANNE SERRANO AUD
Audiologist
4201 LAKE BOONE TRL STE 105
RALEIGH, NC 27607
Wake County (919) 782-7112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omallah Bush's NPI number?

The NPI number for Omallah Bush is 1093719874. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Omallah Bush located?

Omallah Bush practices at 4201 Lake Boone Trl Ste 105, Raleigh, NC 27607. The listed phone number is (919) 782-7112.

What is Omallah Bush's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Omallah Bush was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.