Active NPI
Tricia Ann Zigrang, PHD
- Psychologist
- Omaha, NE
National Provider Identifier
1114087947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1078
- Practice address
- 326 N 40TH St
Omaha, NE 68131-2311 - Phone
- (541) 819-0829
- Fax
- (503) 662-6281
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 469 | OR | |
| Psychologist | 103T00000X | 1078 | NE | Primary |
Addresses
Primary practice location
326 N 40TH St
Omaha, NE 68131-2311
Mailing address
326 N 40TH St
Omaha, NE 68131-2311
Other practice location 1
1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236
Phone (541) 819-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071134 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240105000742 | NE | Practitioner - Clinical Psychologist | 5799974259 | Practice locations: Omaha, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
326 N 40TH St
Omaha, NE 68131-2311
Phone (541) 819-0829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1114087947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N 40TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N 40TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312311",
"telephone_number": "541-819-0829",
"fax_number": "503-662-6281"
}
],
"practiceLocations": [
{
"address_1": "1500 NW Bethany Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970065236",
"country_code": "US",
"telephone_number": "541-819-0829",
"fax_number": "503-662-6281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIGRANG",
"first_name": "TRICIA",
"middle_name": "ANN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "469",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "1078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071134",
"state": "OR"
}
],
"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 Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.