Active NPI
Donna L Stewart, PHD
- Psychologist
- Omaha, NE
National Provider Identifier
1205980471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 613
- Practice address
- 5074 Ames Ave
Omaha, NE 68104-2323 - Phone
- (402) 996-2540
- Fax
- (402) 996-2599
- NPI assigned
- Jan 23, 2007
- Last updated
- Aug 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 613 | NE | Primary |
Addresses
Primary practice location
5074 Ames Ave
Omaha, NE 68104-2323
Mailing address
5074 Ames Ave
Omaha, NE 68104-2323
Phone (402) 996-2540
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026370000 | Medicaid | NE | |
| 10026330000 | Medicaid | NE | |
| 47037660624 | Medicaid | NE |
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1205980471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5074 AMES AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681042323",
"telephone_number": "402-996-2540",
"fax_number": "402-996-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5074 AMES AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681042323",
"telephone_number": "402-996-2540",
"fax_number": "402-996-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DONNA",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026370000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026330000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660624",
"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 Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.