NPIMap

Organization Active NPI

The Express Clinic LLC

Doing business as West Lincoln Family Medicine

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1235468778
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE EXPRESS CLINIC LLC
Doing business as
West Lincoln Family Medicine
Practice address
201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645
Phone
(402) 435-0228
Fax
(402) 435-0229
NPI assigned
Dec 11, 2009
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
THE EXPRESS CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Ann Warner
Title
Adm.
Phone
(402) 423-0396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645

Mailing address

PO Box 23048
Lincoln, NE 68542-3048
Phone (402) 421-0161

Other names 1

  • West Lincoln Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000460 NE Part B Supplier - Clinic/Group Practice 7911003017 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Express Clinic LLC

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3740 N 27th St
Ste 1
Lincoln, NE 68521
Phone (402) 423-0396

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1235468778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23048",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685423048",
            "telephone_number": "402-421-0161",
            "fax_number": "402-421-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CAPITOL BEACH BLVD STE 1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281645",
            "telephone_number": "402-435-0228",
            "fax_number": "402-435-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXPRESS CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EXPRESS CLINIC, LLC",
        "enumeration_date": "2009-12-11",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "402-423-0396"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Lincoln Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.