Individual provider Active NPI

Amanda Kay Tyma, APRN

  • Nurse Practitioner
  • Bellevue, NE
National Provider Identifier
1255243036
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
117196 Issued in NE
Practice address
720 Fort Crook Rd N
Bellevue, NE 68005-4558
Phone
(402) 933-0800
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 117196 NE Primary

Addresses

Primary practice location

720 Fort Crook Rd N
Bellevue, NE 68005-4558

Mailing address

2323 S 171St St Ste 100
Omaha, NE 68130-4651
Phone (531) 710-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1255243036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S 171ST ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304651",
            "telephone_number": "531-710-4063",
            "fax_number": "531-721-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 FORT CROOK RD N",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054558",
            "telephone_number": "402-933-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMA",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "117196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.