Organization Active NPI

Family Health Care, PC

  • Specialist
  • Omaha, NE
National Provider Identifier
1083669428
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20249 Issued in NE
Legal business name
FAMILY HEALTH CARE, PC
Practice address
10105 Maple St
Omaha, NE 68134-5554
Phone
(402) 572-3145
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. Anna L Lavedan, MD
Title
Physician
Phone
(402) 572-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 20249 NE Primary

Addresses

Primary practice location

10105 Maple St
Omaha, NE 68134-5554

Mailing address

10105 Maple St
Omaha, NE 68134-5554
Phone (402) 572-3145

Other identifiers 1

IdentifierTypeStateIssuer
336729240MedicaidNE

National Provider Directory

National Provider Directory

Locations

10105 Maple St
Omaha, NE 68134
Phone (402) 572-3140

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1083669428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345554",
            "telephone_number": "402-572-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345554",
            "telephone_number": "402-572-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "LAVEDAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-572-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "20249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336729240",
            "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 Sep 2, 2010; 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.