Individual provider Active NPI

Jennifer Conahan II

  • School Registered Nurse
  • Omaha, NE
National Provider Identifier
1164907630
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
48465 Issued in NE
Practice address
8050 N 129TH Ave
Omaha, NE 68142-1804
Phone
(531) 299-2341
Fax
(531) 299-2359
NPI assigned
Oct 1, 2018
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 48465 NE Primary

Addresses

Primary practice location

8050 N 129TH Ave
Omaha, NE 68142-1804

Mailing address

8050 N 129TH Ave
Omaha, NE 68142-1804
Phone (531) 299-2341

Other practice location 1

1707 N 211th St
Elkhorn, NE 68022-4653
Phone (402) 677-6539

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

LicenseStateTypeSpecialty
48465NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1164907630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N 129TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681421804",
            "telephone_number": "531-299-2341",
            "fax_number": "531-299-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 N 129TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681421804",
            "telephone_number": "531-299-2341",
            "fax_number": "531-299-2359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 N 211th St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680224653",
            "country_code": "US",
            "telephone_number": "402-677-6539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONAHAN",
        "first_name": "JENNIFER",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "48465",
            "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 Oct 8, 2018; 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.