Individual provider Active NPI

Diana R Lundquist, PA-C

  • Medical Physician Assistant
  • Omaha, NE
National Provider Identifier
1104984772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
751 Issued in NE
Practice address
7815 Farnam Dr
Children'S Home Healthcare'S World
Omaha, NE 68114-4564
Phone
(402) 926-2322
Fax
(402) 926-2722
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 751 NE Primary

Addresses

Primary practice location

7815 Farnam Dr
Children'S Home Healthcare'S World
Omaha, NE 68114-4564

Mailing address

7815 Farnam Dr
Children'S Home Healthcare'S World
Omaha, NE 68114-4564
Phone (402) 926-2322

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104984772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 FARNAM DR",
            "address_2": "CHILDREN'S HOME HEALTHCARE'S WORLD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144564",
            "telephone_number": "402-926-2322",
            "fax_number": "402-926-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 FARNAM DR",
            "address_2": "CHILDREN'S HOME HEALTHCARE'S WORLD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144564",
            "telephone_number": "402-926-2322",
            "fax_number": "402-926-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "DIANA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "751",
            "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 Jul 8, 2007; 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.