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Childrens Hospital & Medical Center

Organization Active NPI Pediatric Nutrition Registered Dietitian · Omaha, NE

NPI 1003061680 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1003061680
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Nutrition Registered Dietitian 133VN1004X
Legal business name
CHILDRENS HOSPITAL & MEDICAL CENTER
Practice address
8200 Dodge St
Omaha, NE 68114-4113
Phone
(402) 955-5400
NPI assigned
Nov 24, 2008
Organization subpart
Yes
Parent organization (as reported)
CHILDRENS HOSPITAL & MEDICAL CENTER

Authorized official

Name
Chanda Chacon
Title
President & Ceo
Phone
(402) 955-6826

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Andrea J Steenson MD (23 organizations share this tax ID)
Part of
Andrea J Steenson MD

Locations

7823 Chicago Ct
Omaha, NE 68114
Phone (402) 955-3871

Interoperability endpoints

  • FHIR API: https://eproxy1.chsomaha.org/FHIRPROXY/api/FHIR/R4/
  • FHIR API: https://eproxy1.chsomaha.org/FHIRPROXY/api/FHIR/R4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP		 133VN1004X Yes
Diabetes Educator Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 163WD0400X

Addresses

Primary practice location

8200 Dodge St
Omaha, NE 68114-4113

Mailing address

8200 Dodge St
Omaha, NE 68114-4113
Phone (402) 955-5400

Other names

  • Childrens Hospital Clinical Nutrition Doing business as

Other providers in Omaha, NE

All providers in Omaha, NE · Pediatric Nutrition Registered Dietitian in Nebraska

Sources for this page

Verify at the official NPI Registry.