NPIMap

Organization Active NPI

Pioneer Woods Pain Solutions, Inc.

  • Specialist
  • Lincoln, NE
National Provider Identifier
1174826440
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25587 Issued in NE
Legal business name
PIONEER WOODS PAIN SOLUTIONS, INC.
Practice address
4210 Pioneer Woods Dr
Ste. B
Lincoln, NE 68506-7561
Phone
(402) 484-0200
Fax
(402) 484-5677
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mrs. Amanda Rae Henn
Title
Chief Financial Officer
Phone
(402) 420-5303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25587 NE Primary

Addresses

Primary practice location

4210 Pioneer Woods Dr
Ste. B
Lincoln, NE 68506-7561

Mailing address

6800 S 32ND St
Ste. a
Lincoln, NE 68516-6036
Phone (402) 420-4303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1174826440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 S 32ND ST",
            "address_2": "STE. A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166036",
            "telephone_number": "402-420-4303",
            "fax_number": "402-420-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR",
            "address_2": "STE. B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067561",
            "telephone_number": "402-484-0200",
            "fax_number": "402-484-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER WOODS PAIN SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "HENN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "402-420-5303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "25587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.