Active NPI
Transformative Healthcare
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1043865165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TRANSFORMATIVE HEALTHCARE
- Practice address
- 11810 Nicholas St
Omaha, NE 68154-4449 - Phone
- (402) 307-5510
- Fax
- (402) 204-1081
- NPI assigned
- Aug 6, 2019
- 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
- Cassie Krause, APRN
- Title
- Nurse Practitioner / Owner
- Phone
- (402) 307-5510
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
11810 Nicholas St
Omaha, NE 68154-4449
Mailing address
11810 Nicholas St
Omaha, NE 68154-4449
Phone (402) 307-5510
Other names 1
- Transformative Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2167127 | Transformative Healthcare | Certificate of waiver | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Omaha, NE
- NPI 1487915559
-
- Nurse Practitioner
- Omaha, NE
- NPI 1013662279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1043865165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11810 NICHOLAS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544449",
"telephone_number": "402-307-5510",
"fax_number": "402-204-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11810 NICHOLAS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544449",
"telephone_number": "402-307-5510",
"fax_number": "402-204-1081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMATIVE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "KRAUSE",
"authorized_official_first_name": "CASSIE",
"authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
"authorized_official_telephone_number": "402-307-5510",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Transformative Healthcare",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.