Individual provider Active NPI

Lois Cecava, RN

  • Registered Nurse
  • Gering, NE
National Provider Identifier
1164085759
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
27993 Issued in NE
Practice address
1519 10TH St
Gering, NE 69341-2818
Phone
(308) 436-3125
Fax
(308) 436-4301
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 27993 NE Primary

Addresses

Primary practice location

1519 10TH St
Gering, NE 69341-2818

Mailing address

1519 10TH St
Gering, NE 69341-2818
Phone (308) 436-3125

Other identifiers 1

IdentifierTypeStateIssuer
47-6005311MedicaidNE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
27993NEMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gering Public Schools PastSince Apr 24, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1164085759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412818",
            "telephone_number": "308-436-3125",
            "fax_number": "308-436-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412818",
            "telephone_number": "308-436-3125",
            "fax_number": "308-436-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECAVA",
        "first_name": "LOIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "27993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-6005311",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.