Active NPI
Nolan Himmelberg, CPO
- Prosthetist
- Omaha, NE
National Provider Identifier
1083306872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO04647
- Practice address
- 4101 Woolworth Ave # 121
Omaha, NE 68105-1850 - Phone
- (402) 995-5988
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO04647 | NE | |
| Prosthetist | 224P00000X | CPO04647 | NE | Primary |
Addresses
Primary practice location
4101 Woolworth Ave # 121
Omaha, NE 68105-1850
Mailing address
900 Farnam St Apt 814
Omaha, NE 68102-5092
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 |
|---|---|---|---|
| CPO04647 | NE | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1083306872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FARNAM ST APT 814",
"city": "OMAHA",
"state": "NE",
"postal_code": "681025092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 WOOLWORTH AVE # 121",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051850",
"telephone_number": "402-995-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMMELBERG",
"first_name": "NOLAN",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NE",
"license": "CPO04647",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NE",
"license": "CPO04647",
"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 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.