Active NPI
Hazlo Health
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1063140259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HAZLO HEALTH
- Practice address
- 2912 S 84TH St
Omaha, NE 68124-3213 - Phone
- (402) 290-8147
- NPI assigned
- Aug 15, 2022
- 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
- Mr. Mark Huber, APRN
- Title
- Owner/Provider
- Phone
- (402) 290-8147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2912 S 84TH St
Omaha, NE 68124-3213
Mailing address
1026 S 32ND St
Omaha, NE 68105-2002
Phone (402) 290-8147
National Provider Directory
National Provider DirectoryLocations
2912 S 84th St
Omaha, NE 68124
Phone (402) 290-8147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1063140259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 S 32ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052002",
"telephone_number": "402-290-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 S 84TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243213",
"telephone_number": "402-290-8147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAZLO HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "HUBER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "402-290-8147",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"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 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.