Active NPI
Matthew Lee, OTS
- Student in an Organized Health Care Education/Training Program
- Omaha, NE
National Provider Identifier
1255793568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 000004374387
- Practice address
- 14106 Manderson PLZ
204
Omaha, NE 68164-6288 - Phone
- (605) 480-3181
- NPI assigned
- Mar 25, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 000004374387 | NE | Primary |
Addresses
Primary practice location
14106 Manderson PLZ
204
Omaha, NE 68164-6288
Mailing address
14106 Manderson PLZ
204
Omaha, NE 68164-6288
Phone (605) 480-3181
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000004374387 | NE | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1255793568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14106 MANDERSON PLZ",
"address_2": "204",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646288",
"telephone_number": "605-480-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14106 MANDERSON PLZ",
"address_2": "204",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646288",
"telephone_number": "605-480-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"credential": "OTS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-25",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": "000004374387",
"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 Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.