NPIMap

Organization Active NPI

Pedxm, PC

  • Nurse Practitioner
  • Gretna, NE
National Provider Identifier
1043726524
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111529 Issued in NE
Legal business name
PEDXM, PC
Practice address
7125 South 199 Street
Gretna, NE 68028-6986
Phone
(402) 676-1145
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Erin E Thoman, APRNNPI 1750721890
Title
Owner
Phone
(402) 676-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 111529 NE Primary

Addresses

Primary practice location

7125 South 199 Street
Gretna, NE 68028-6986

Mailing address

7125 South 199 Street
Gretna, NE 68028-6986
Phone (402) 676-1145

Other names 1

  • Nebraska Home Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1043726524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 SOUTH 199 STREET",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286986",
            "telephone_number": "402-676-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 SOUTH 199 STREET",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286986",
            "telephone_number": "402-676-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDXM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "THOMAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-676-1145",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Home Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.