Active NPI
Grayce Dutcher
- Behavior Technician
- Omaha, NE
National Provider Identifier
1265260194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-362883
- Practice address
- 5050 Ames Ave
Omaha, NE 68104-2323 - Phone
- (402) 836-9781
- Fax
- (402) 599-5737
- NPI assigned
- Jul 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-362883 | NE | Primary |
Addresses
Primary practice location
5050 Ames Ave
Omaha, NE 68104-2323
Mailing address
985450 Nebraska Medical Ctr
Omaha, NE 68198-5450
Phone (402) 599-8943
Other practice location 1
6902 Pine St
Omaha, NE 68106-2855
Phone (402) 599-6418
Other practice location 2
9012 Q St
Omaha, NE 68127-3549
Phone (402) 552-9556
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 |
|---|---|---|---|
| RBT-24-362883 | NE | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1265260194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985450 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985450",
"telephone_number": "402-599-8943",
"fax_number": "402-599-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 AMES AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681042323",
"telephone_number": "402-836-9781",
"fax_number": "402-599-5737"
}
],
"practiceLocations": [
{
"address_1": "6902 Pine St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681062855",
"country_code": "US",
"telephone_number": "402-599-6418",
"fax_number": "402-599-5753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9012 Q St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681273549",
"country_code": "US",
"telephone_number": "402-552-9556",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUTCHER",
"first_name": "GRAYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "RBT-24-362883",
"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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.