Individual provider Active NPI

Amanda L Lura, CNM

  • Advanced Practice Midwife
  • Omaha, NE
National Provider Identifier
1144647975
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
120055 Issued in NE
Practice address
515 N 162ND Ave Ste 102
Omaha, NE 68118-2540
Phone
(402) 505-9493
Fax
(402) 504-3723
NPI assigned
Mar 18, 2014
Last updated
Dec 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 120055 NE Primary

Addresses

Primary practice location

515 N 162ND Ave Ste 102
Omaha, NE 68118-2540

Mailing address

7205 W Center Rd Ste 200
Omaha, NE 68124-2388
Phone (402) 397-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516001471 NE Practitioner - Certified Nurse Midwife (CNM) 7810110996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Interoperability endpoints

  • Direct secure messaging: amanda.lura@midcityobgyn.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1144647975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 162ND AVE STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182540",
            "telephone_number": "402-505-9493",
            "fax_number": "402-504-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURA",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "120055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.