Active NPI
Meridith Lutjelusche, RN
- Registered Nurse
- Columbus, NE
National Provider Identifier
1215256433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 67374
- Practice address
- 3020 18TH St
Ste. 17
Columbus, NE 68601-4254 - Phone
- (402) 563-3833
- Fax
- (402) 562-8714
- NPI assigned
- May 27, 2010
- Last updated
- May 27, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 67374 | NE | Primary |
Addresses
Primary practice location
3020 18TH St
Ste. 17
Columbus, NE 68601-4254
Mailing address
3300 N 60TH St
Omaha, NE 68104-3402
Phone (402) 554-0520
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67374 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Archdiocese of Omaha Inc | Past | Accepting new patients | |
| Catholic Charities of the Archdiocese of Omaha Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1215256433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N 60TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-554-0520",
"fax_number": "402-551-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 18TH ST",
"address_2": "STE. 17",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686014254",
"telephone_number": "402-563-3833",
"fax_number": "402-562-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTJELUSCHE",
"first_name": "MERIDITH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "67374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.