Minuteclinic Diagnostic of Nebraska, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINUTECLINIC DIAGNOSTIC OF NEBRASKA, LLC

Practice address

5566 S 56TH St
Lincoln, NE 68516-1834

Phone

(866) 389-2727

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Jean Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 3

Addresses

Tax ID family

Minuteclinic Diagnostic of Nebraska LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Minuteclinic Diagnostic of Nebraska, LLC

  • Clinical Social Worker
  • Lincoln, NE
  • NPI 1326894254
  NPD tax ID

Locations

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1154060861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5566 S 56TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161834",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC DIAGNOSTIC OF NEBRASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabrice Essame Minko
• Frederic Minko
• Greg Minner, PHARMD
• Rik Minnick
• Minuteclinic Diagnostic of Nebraska, LLC
• Minuteclinic Diagnostic of Nebraska, LLC
• Lauren Minzel
• Shraon Miranda
• Nima Mirmoghtadaei, D.D.S.
• Diyar Mirza

• Family Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.