Individual provider Active NPI

Cheryl D Hellstrom, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1184647844
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110198 Issued in NE
Practice address
4920 Center St
Omaha, NE 68106-3219
Phone
(402) 558-2500
Fax
(402) 558-5013
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110198 NE Primary

Addresses

Primary practice location

4920 Center St
Omaha, NE 68106-3219

Mailing address

4920 Center St
Omaha, NE 68106-3219
Phone (402) 558-6625

Other identifiers 1

IdentifierTypeStateIssuer
47075591500MedicaidNE

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1184647844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063219",
            "telephone_number": "402-558-6625",
            "fax_number": "402-558-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063219",
            "telephone_number": "402-558-2500",
            "fax_number": "402-558-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLSTROM",
        "first_name": "CHERYL",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075591500",
            "state": "NE"
        }
    ],
    "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 May 3, 2013; 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.