Peggy L Pelish, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

110135 Issued in NE

Practice address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Phone

(402) 559-4208

Fax

(402) 559-7929

NPI assigned

May 10, 2006

Last updated

Jul 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ppelish7615@direct.chsomaha.org

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1144270430",
    "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",
            "telephone_number": "402-559-4208",
            "fax_number": "402-559-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102",
            "telephone_number": "402-559-4208",
            "fax_number": "402-559-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELISH",
        "first_name": "PEGGY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "110135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE LICENSE",
            "identifier": "110135",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Pekas
• Brandon B Pekelder, DPT
• Alivia Joy Peklo
• Krynn Pekny, LMHP, CMSW
• Jennifer Thalia Pelegrin
• Alexa Pellegrino, MA
• Kaitlyn Paige Pellegrino, M.D.
• Peter Ricci Pellegrino, MD, PHD
• Lynn F Pelster, PT
• Alayna Rose Peltz

• Pediatric Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.