Active NPI
Omaha Neurological Clinic Inc
- Neurology Physician
- Omaha, NE
National Provider Identifier
1215030531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- OMAHA NEUROLOGICAL CLINIC INC
- Practice address
- 10020 Nicholas Street
Suite 202
Omaha, NE 68114 - Phone
- (402) 393-2023
- Fax
- (402) 393-3244
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole M Liebentritt, M.D.
- Title
- President
- Phone
- (402) 393-2023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NE | Primary |
Addresses
Primary practice location
10020 Nicholas Street
Suite 202
Omaha, NE 68114
Mailing address
10020 Nicholas Street
Suite 202
Omaha, NE 68114-2188
Phone (402) 393-2023
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02009 | Other | NE | RAILROAD MEDICARE |
| 01907 | Other | NE | BCBS OF NE |
| 0938977 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
7710 Mercy Rd
Ste 401
Omaha, NE 68124
Phone (402) 393-2023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1215030531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10020 NICHOLAS STREET",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142188",
"telephone_number": "402-393-2023",
"fax_number": "402-393-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10020 NICHOLAS STREET",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-393-2023",
"fax_number": "402-393-3244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMAHA NEUROLOGICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LIEBENTRITT",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-393-2023",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C02009",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "01907",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0938977",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
- Omaha Metro Care and Rehabilitation Center, LLC
- Omaha Mindful Medicine and Therapy LLC
- Omaha Mobility Specialist
- Omaha Native LLC (HomeCare Advocacy Network)
- Omaha Nephrology PC
- Omaha Nursing Home Inc
- Omaha OBGYN Associates PC
- Omaha OBGYN Associates PC
- Omaha Occupational and Speech Therapy, PC
- Omaha One Opco LLC (Adept Nursing & Rehab of Midtown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.