Organization Active NPI

Paula a Whittle Mental Health Services PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1033474275
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111379 Issued in NE
Legal business name
PAULA A WHITTLE MENTAL HEALTH SERVICES PC
Practice address
4610 S 133Rd St Ste 109
Omaha, NE 68137-1133
Phone
(402) 614-0010
Fax
(402) 614-0090
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula Ann Whittle, APRNNPI 1265794002
Title
Owner
Phone
(402) 614-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 111379 NE Primary

Addresses

Primary practice location

4610 S 133Rd St Ste 109
Omaha, NE 68137-1133

Mailing address

4610 S 133Rd St Ste 109
Omaha, NE 68137-1133
Phone (402) 614-0010

National Provider Directory

National Provider Directory

Locations

4610 S 133rd St
Ste 109
Omaha, NE 68137
Phone (402) 614-0010

2808 S 80th Ave
Ste 110
Omaha, NE 68124
Phone (402) 391-3870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1033474275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 S 133RD ST STE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371133",
            "telephone_number": "402-614-0010",
            "fax_number": "402-614-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 S 133RD ST STE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371133",
            "telephone_number": "402-614-0010",
            "fax_number": "402-614-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA A WHITTLE MENTAL HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "WHITTLE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-614-0010",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.