Active NPI
Advanced Mobile Medicine LLC
- Gerontology Nurse Practitioner
- Bellevue, NE
National Provider Identifier
1134616212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- ADVANCED MOBILE MEDICINE LLC
- Practice address
- 1902 Harlan Dr
Bellevue, NE 68005-6602 - Phone
- (402) 934-3886
- NPI assigned
- Apr 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reggie Ripple
- Title
- President
- Phone
- (402) 934-2356
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 111120 | NE | |
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
1902 Harlan Dr
Bellevue, NE 68005-6602
Mailing address
1902 Harlan Dr
Bellevue, NE 68005-6602
Phone (402) 934-3886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2331 Nash Blvd
Council Bluffs, IA 51501
Phone (402) 933-4450
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Bellevue, NE
- NPI 1699181123
-
- Family Nurse Practitioner
- Bellevue, NE
- NPI 1821508219
-
- Nurse Practitioner
- Bellevue, NE
- NPI 1619406188
-
- Family Nurse Practitioner
- Bellevue, NE
- NPI 1497293153
-
- Family Medicine Physician
- Bellevue, NE
- NPI 1952451957
-
- Adult Health Nurse Practitioner
- Bellevue, NE
- NPI 1831288893
-
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
- NPI 1568409001
-
- Nurse Practitioner
- Lincoln, NE
- NPI 1619071206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1134616212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 HARLAN DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680056602",
"telephone_number": "402-934-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 HARLAN DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680056602",
"telephone_number": "402-934-3886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MOBILE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-15",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "RIPPLE",
"authorized_official_first_name": "REGGIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-934-2356"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "111120",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
- Kalan Elaine Addams, RBT
- Joelle Elodie SE Adjinata I
- Annis A Adolphus
- Adult & Pediatric Urology PC
- Advanced Cardiovascular Care PC
- Aesthetic & Family Dentistry LLC
- Affiliated Reproductive Health Clinics Inc
- Affordable Dentures - Omaha, P.C.
- Affordable Dentures & Implants - Omaha, P.C.
- Dede Akouto Aflagah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.