Megan T Connelly, APRN
Individual provider Active NPI Pediatric Nurse Practitioner · Omaha, NE
NPI 1205900883 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205900883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 110223 (NE)
- Practice address
- 8200 Dodge Street
Children'S Hospital - Cardiothoracic Surgery
Omaha, NE 68114-4113 - Phone
- (402) 955-4360
- Fax
- (402) 955-4364
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110223 | NE | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 110223 | NE | Yes |
Addresses
Primary practice location
8200 Dodge Street
Children'S Hospital - Cardiothoracic Surgery
Omaha, NE 68114-4113
Mailing address
8200 Dodge Street
Children'S Hospital
Omaha, NE 68114-4113
Phone (402) 955-5400
Other providers in Omaha, NE
- James D Connelly
- Jude T Connelly
- Laura Connelly
- Makayla Connelly
- Mary Connelly
- Susan C Connelly
- Conner Psychological Services PC
- Amy Conner
- Andre Conner
- Bonnie J Conner
All providers in Omaha, NE · Pediatric Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.