Active NPI
Terri Jean Knutson
- Community Health Worker
- Omaha, NE
National Provider Identifier
1215449046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3568 Dodge St Ste 2
Omaha, NE 68131-3222 - Phone
- (402) 345-0791
- Fax
- (402) 345-0938
- NPI assigned
- Nov 2, 2017
- Last updated
- Feb 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NE | Primary | |
| Peer Specialist | 175T00000X | NU |
Addresses
Primary practice location
3568 Dodge St Ste 2
Omaha, NE 68131-3222
Mailing address
7929 W Center Rd
Omaha, NE 68124-3104
Phone (877) 518-1070
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Services of NE, Inc | Current | Accepting new patients | |
| Nebraska Family Support Network | Past | Accepting new patients |
Locations
7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1639121726
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1578086294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1215449046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7929 W CENTER RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243104",
"telephone_number": "877-518-1070",
"fax_number": "402-591-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3568 DODGE ST STE 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681313222",
"telephone_number": "402-345-0791",
"fax_number": "402-345-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "TERRI",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NE",
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.