Individual provider Active NPI

Lori Gruttmeyer

  • School Registered Nurse
  • Omaha, NE
National Provider Identifier
1063997542
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
40663 Issued in NE
Practice address
4700 Giles Rd
Omaha, NE 68157-2699
Phone
(531) 299-2541
Fax
(531) 299-2578
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 40663 NE
School Registered Nurse 163WS0200X 40663 NE Primary

Addresses

Primary practice location

4700 Giles Rd
Omaha, NE 68157-2699

Mailing address

4700 Giles Road
Omaha, NE 68133-2699
Phone (531) 299-2541

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40663NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1063997542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 GILES ROAD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681332699",
            "telephone_number": "531-299-2541",
            "fax_number": "531-299-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GILES RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681572699",
            "telephone_number": "531-299-2541",
            "fax_number": "531-299-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTTMEYER",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "40663",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "40663",
            "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 Oct 4, 2018; 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.