Active NPI
Brandi Ja'Nae Moaning
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1144640319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 102933
- Practice address
- 7412 Girard St
Omaha, NE 68122-1766 - Phone
- (402) 203-6678
- NPI assigned
- Apr 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 102933 | NE | Primary |
Addresses
Primary practice location
7412 Girard St
Omaha, NE 68122-1766
Mailing address
7412 Girard St
Omaha, NE 68122-1766
Phone (402) 203-6678
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102933 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1144640319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 GIRARD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221766",
"telephone_number": "402-203-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 GIRARD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221766",
"telephone_number": "402-203-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOANING",
"first_name": "BRANDI",
"middle_name": "JA'NAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "102933",
"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 Apr 25, 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.