Active NPI
Joseph Mangiameli Jr., RN
- Emergency Registered Nurse
- Omaha, NE
National Provider Identifier
1255415733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 60585
- Practice address
- 14705 Manderson PLZ
Suite 203
Omaha, NE 68116-6269 - Phone
- (402) 934-9762
- Fax
- (402) 717-8115
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 60585 | NE | Primary |
Addresses
Primary practice location
14705 Manderson PLZ
Suite 203
Omaha, NE 68116-6269
Mailing address
14705 Manderson PLZ
Suite 203
Omaha, NE 68116-6269
Phone (402) 934-9762
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60585 | NE | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seward Urgent Care Partnership LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Seward, NE
- NPI 1689366189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255415733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14705 MANDERSON PLZ",
"address_2": "SUITE 203",
"city": "OMAHA",
"state": "NE",
"postal_code": "681166269",
"telephone_number": "402-934-9762",
"fax_number": "402-717-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14705 MANDERSON PLZ",
"address_2": "SUITE 203",
"city": "OMAHA",
"state": "NE",
"postal_code": "681166269",
"telephone_number": "402-934-9762",
"fax_number": "402-717-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGIAMELI",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NE",
"license": "60585",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.