Active NPI
Jill A Phelps, APRN
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1063461184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 110261
- Practice address
- 4951 Center St
Suite 200
Omaha, NE 68106-3252 - Phone
- (402) 558-2500
- Fax
- (402) 558-5522
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110261 | NE | Primary |
Addresses
Primary practice location
4951 Center St
Suite 200
Omaha, NE 68106-3252
Mailing address
4951 Center St
Suite 200
Omaha, NE 68106-3252
Phone (402) 558-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026287600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ziad L. Zawaideh M.D. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548477169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1063461184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 CENTER ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063252",
"telephone_number": "402-558-2500",
"fax_number": "402-558-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 CENTER ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063252",
"telephone_number": "402-558-2500",
"fax_number": "402-558-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "JILL",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026287600",
"state": "NE"
}
],
"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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.