Active NPI
Brenda Lee Herrod, APRN
- Women's Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1194193029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 11646
- Practice address
- 444 Regency Parkway Drive Suite 104
Omaha, NE 68114 - Phone
- (531) 365-6110
- Fax
- (402) 939-0861
- NPI assigned
- Sep 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 111646 | NE | |
| Women's Health Nurse Practitioner | 363LW0102X | 11646 | NE | Primary |
Addresses
Primary practice location
444 Regency Parkway Drive Suite 104
Omaha, NE 68114
Mailing address
444 Regency Parkway Drive Suite 104
Omaha, NE 68114
Phone (402) 649-5590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111646 | NE | MD | Nurse Practitioner |
| 11646 | NE | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eon Care Clinicians PC | Nurse Practitioner | Current | Accepting new patients |
| Osimm Holdings Ok, LLC | Past | Accepting new patients |
Locations
1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Germantown, MD
- NPI 1073332490
-
- Clinic/Center
- Oklahoma City, OK
- NPI 1023354842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1194193029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 REGENCY PARKWAY DRIVE SUITE 104",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-649-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 REGENCY PARKWAY DRIVE SUITE 104",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "531-365-6110",
"fax_number": "402-939-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERROD",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "111646",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NE",
"license": "11646",
"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 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.