Active NPI
Ronda Jean Foley
- Physician Assistant
- Elkhorn, NE
National Provider Identifier
1255860110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 912
- Practice address
- 20160 Harney St
Elkhorn, NE 68022-2071 - Phone
- (402) 740-0563
- NPI assigned
- Jun 5, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 912 | NE | Primary |
Addresses
Primary practice location
20160 Harney St
Elkhorn, NE 68022-2071
Mailing address
20160 Harney St
Elkhorn, NE 68022-2071
Phone (402) 740-0563
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 |
|---|---|---|---|
| 912 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255860110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20160 HARNEY ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222071",
"telephone_number": "402-740-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20160 HARNEY ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222071",
"telephone_number": "402-740-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "RONDA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.