Active NPI
Josiah Daniel Bedunnah
- Family Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1124945704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 117058
- Practice address
- 2300 S 16TH St
Lincoln, NE 68502-3704 - Phone
- (402) 481-1111
- NPI assigned
- Jul 2, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 117058 | NE | Primary |
Addresses
Primary practice location
2300 S 16TH St
Lincoln, NE 68502-3704
Mailing address
2602 Franklin St
Lincoln, NE 68502-3038
Phone (308) 325-4522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1124945704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 FRANKLIN ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023038",
"telephone_number": "308-325-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDUNNAH",
"first_name": "JOSIAH",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "117058",
"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 Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.