Active NPI
Cathy Tsuchiyama, APRN
- Family Nurse Practitioner
- Council Bluffs, IA
National Provider Identifier
1255756169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- H170500
- Practice address
- 3135 W Broadway
Council Bluffs, IA 51501-3359 - Phone
- (712) 328-9100
- NPI assigned
- Feb 28, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 70015 | NE | |
| Family Nurse Practitioner | 363LF0000X | 113888 | NE | |
| Family Nurse Practitioner | 363LF0000X | H170500 | IA | Primary |
Addresses
Primary practice location
3135 W Broadway
Council Bluffs, IA 51501-3359
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
4220 L St
Omaha, NE 68107-1048
Phone (402) 733-4433
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70015 | NE | MD | Registered Nurse |
| H170500 | IA | MD | Family Nurse Practitioner |
| 113888 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661644800000",
"number": "1255756169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013359",
"telephone_number": "712-328-9100"
}
],
"practiceLocations": [
{
"address_1": "4220 L St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681071048",
"country_code": "US",
"telephone_number": "402-733-4433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSUCHIYAMA",
"first_name": "CATHY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2022-08-28",
"certification_date": "2022-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "70015",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113888",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "H170500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.