Organization Active NPI

Nebraska Sleep Lab LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • North Platte, NE
National Provider Identifier
1205877636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NEBRASKA SLEEP LAB LLC
Practice address
500 W Leota St
Suite 250
North Platte, NE 69101-6576
Phone
(308) 532-2331
Fax
(308) 532-2332
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Andrew Nielsen, MD
Title
Doctor/Partner
Phone
(308) 532-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

500 W Leota St
Suite 250
North Platte, NE 69101-6576

Mailing address

PO Box 702
North Platte, NE 69103-0702
Phone (308) 532-2331

Other identifiers 1

IdentifierTypeStateIssuer
F249583OtherNEMIDLAND'S CHOICE GROUP #

National Provider Directory

National Provider Directory

Locations

500 W Leota St
Ste 250
North Platte, NE 69101
Phone (308) 532-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205877636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691030702",
            "telephone_number": "308-532-2331",
            "fax_number": "308-532-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W LEOTA ST",
            "address_2": "SUITE 250",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016576",
            "telephone_number": "308-532-2331",
            "fax_number": "308-532-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR/PARTNER",
        "authorized_official_telephone_number": "308-532-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE GROUP #",
            "identifier": "F249583",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.