Active NPI
Timara Kroeger
- School Registered Nurse
- Omaha, NE
National Provider Identifier
1215410444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 42362
- Practice address
- 2606 Hamilton St
Omaha, NE 68131-1640 - Phone
- (402) 344-3385
- Fax
- (402) 344-3724
- NPI assigned
- Sep 13, 2018
- Last updated
- Sep 18, 2018
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 42362 | NE | Primary |
Addresses
Primary practice location
2606 Hamilton St
Omaha, NE 68131-1640
Mailing address
2606 Hamilton St
Omaha, NE 68131-1640
Phone (402) 344-3385
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42362 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1215410444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 HAMILTON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681311640",
"telephone_number": "402-344-3385",
"fax_number": "402-344-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 HAMILTON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681311640",
"telephone_number": "402-344-3385",
"fax_number": "402-344-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "TIMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "42362",
"primary": true
}
],
"identifiers": [],
"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 Sep 18, 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.