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
- Last updated
- Sep 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
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) | 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
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.
-
- Nurse Practitioner
- San Francisco, CA
- NPI 1275072415
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.