Active NPI
Emily Gorman
- Athletic Trainer
- Omaha, NE
National Provider Identifier
1073992970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 719
- Practice address
- 6001 Dodge St
FH 024C
Omaha, NE 68182-0666 - Phone
- (402) 554-2774
- Fax
- (402) 554-4971
- NPI assigned
- May 26, 2015
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 719 | NE | Primary |
Addresses
Primary practice location
6001 Dodge St
FH 024C
Omaha, NE 68182-0666
Mailing address
6001 Dodge St
FH 024C
Omaha, NE 68182-0666
Phone (402) 554-2774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 719 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Nebraska Board of Regents | Past | Accepting new patients | |
| University of Nebraska Board of Regents | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Omaha, NE
- NPI 1356720775
-
- Audiologist
- Lincoln, NE
- NPI 1851332035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1073992970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 DODGE ST",
"address_2": "FH 024C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681820666",
"telephone_number": "402-554-2774",
"fax_number": "402-554-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 DODGE ST",
"address_2": "FH 024C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681820666",
"telephone_number": "402-554-2774",
"fax_number": "402-554-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "719",
"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 May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.