Active NPI
Nebraska Spine Hospital, LLC
- Special Hospital
- Omaha, NE
National Provider Identifier
1215404165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- NEBRASKA SPINE HOSPITAL, LLC
- Practice address
- 6901 N 72ND St Ste 2300
Omaha, NE 68122-1709 - Phone
- (405) 572-3000
- Fax
- (402) 572-2193
- NPI assigned
- Oct 30, 2018
- Last updated
- Oct 30, 2018
- 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
- Carolyn Ridenour
- Title
- Director, Business Operations
- Phone
- (402) 572-3689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | NU | Primary |
Addresses
Primary practice location
6901 N 72ND St Ste 2300
Omaha, NE 68122-1709
Mailing address
6901 N 72ND St Ste 2300
Omaha, NE 68122-1709
Phone (405) 572-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025971600 | Medicaid | NE |
National Provider Directory
National Provider Directory- Tax ID family
- Nebraska Spine Hospital LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Special Hospital
- Omaha, NE
- NPI 1649595448
Locations
6901 N 72nd St
Ste 2300
Omaha, NE 68122
Phone (405) 572-3000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Registered Nurse
- Lincoln, NE
- NPI 1861688947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540857600000",
"number": "1215404165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 N 72ND ST STE 2300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "405-572-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N 72ND ST STE 2300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "405-572-3000",
"fax_number": "402-572-2193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEBRASKA SPINE HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A",
"authorized_official_last_name": "RIDENOUR",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "DIRECTOR, BUSINESS OPERATIONS",
"authorized_official_telephone_number": "402-572-3689"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025971600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
- Nebraska Pulmonary Associates PC (Pulmonary Medicine Associates of Nebraska PC)
- Nebraska Pulmonary Medicine PC
- Nebraska Rehabilitation Services, PC (Nebraska Rehab Services, PC)
- Nebraska Smiles, LLC
- Nebraska Spine Center, LLP
- Nebraska Spine Hospital, LLC
- Nebraska Surgical Anesthesia Services LLC
- Nebraska Surgical Facility,Inc.
- Nebraska Urban Indian Health Coalition
- Nebraska Urban Indian Health Coalition
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.