Active NPI
Jodi E Chewakin, P.A.-C.
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1114956364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 847
- Practice address
- 1500 U St
Lincoln, NE 68588-1281 - Phone
- (402) 472-5000
- Fax
- (402) 472-8010
- NPI assigned
- Jul 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 847 | NE | |
| Physician Assistant | 363A00000X | 847 | NE | Primary |
Addresses
Primary practice location
1500 U St
Lincoln, NE 68588-1281
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other practice location 1
1500 S 48th St
Suite 508
Lincoln, NE 68506-1225
Phone (402) 483-2886
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 847 | NE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114956364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 U ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685881281",
"telephone_number": "402-472-5000",
"fax_number": "402-472-8010"
}
],
"practiceLocations": [
{
"address_1": "1500 S 48th St",
"address_2": "Suite 508",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685061225",
"country_code": "US",
"telephone_number": "402-483-2886",
"fax_number": "402-489-9684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEWAKIN",
"first_name": "JODI",
"middle_name": "E",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "847",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.