Active NPI
Brittany Ann Reeg, PA-C
- Physician Assistant
- Elkhorn, NE
National Provider Identifier
1154923209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2556
- Practice address
- 3423 N 191St Ave
Elkhorn, NE 68022-3350 - Phone
- (402) 885-7682
- NPI assigned
- Nov 13, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2556 | NE | Primary |
Addresses
Primary practice location
3423 N 191St Ave
Elkhorn, NE 68022-3350
Mailing address
1426 S 195TH St
Omaha, NE 68130-3020
Phone (402) 660-7087
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 |
|---|---|---|---|
| 2556 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679097600000",
"number": "1154923209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 S 195TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681303020",
"telephone_number": "402-660-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3423 N 191ST AVE",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223350",
"telephone_number": "402-885-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEG",
"first_name": "BRITTANY",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2023-03-18",
"certification_date": "2023-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.