Organization Active NPI

Staci L Rosche PC

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1134545122
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24516 Issued in NE
Legal business name
STACI L ROSCHE PC
Practice address
13906 Gold Cir
Suite 202
Omaha, NE 68144-2335
Phone
(402) 932-6500
Fax
(888) 381-0698
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Staci L Rosche, M.D.
Title
President
Phone
(402) 650-5811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 24516 NE Primary

Addresses

Primary practice location

13906 Gold Cir
Suite 202
Omaha, NE 68144-2335

Mailing address

13906 Gold Cir
Suite 202
Omaha, NE 68144-2335
Phone (402) 932-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1134545122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR",
            "address_2": "SUITE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442335",
            "telephone_number": "402-932-6500",
            "fax_number": "888-381-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR",
            "address_2": "SUITE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442335",
            "telephone_number": "402-932-6500",
            "fax_number": "888-381-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACI L ROSCHE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "ROSCHE",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-650-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "24516",
            "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 Aug 21, 2014; 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.