Active NPI
Panhandle Mental Health Center
- Primary Care Nurse Practitioner
- Scottsbluff, NE
National Provider Identifier
1003296005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PANHANDLE MENTAL HEALTH CENTER
- Practice address
- 4110 Avenue D
Scottsbluff, NE 69361-4650 - Phone
- (308) 635-3171
- Fax
- (308) 632-0137
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Richards
- Title
- Executive Director
- Phone
- (308) 635-3171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
4110 Avenue D
Scottsbluff, NE 69361-4650
Mailing address
4110 Avenue D
Scottsbluff, NE 69361-4650
Phone (308) 635-3171
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1003296005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 AVENUE D",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614650",
"telephone_number": "308-635-3171",
"fax_number": "308-632-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 AVENUE D",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614650",
"telephone_number": "308-635-3171",
"fax_number": "308-632-0137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANHANDLE MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "308-635-3171"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.