Individual provider Active NPI

Paula Ann Whittle, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1265794002
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1893 Issued in NE
Practice address
4610 S 133Rd St Ste 109
Omaha, NE 68137
Phone
(402) 614-0010
Fax
(402) 614-0090
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1893 NE Primary

Addresses

Primary practice location

4610 S 133Rd St Ste 109
Omaha, NE 68137

Mailing address

4610 S 133Rd St Ste 109
Omaha, NE 68137-1133
Phone (401) 614-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000056 NE Practitioner - Nurse Practitioner 9234386954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Plains Mental Health Associates LLCGroup PAC ID 9537422332, 13 clinicians

Practice addresses (Care Compare)

4610 S 133Rd St
Suite 109
Omaha, NE 68137-1333
Phone (402) 614-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Mental Health Associates LLC Psychiatric/Mental Health CurrentSince Sep 23, 2013 Accepting new patients

Locations

4610 S 133rd St
Ste 109
Omaha, NE 68137
Phone (402) 614-0010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21060/brand/4/csg/1/fhir/r4

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265794002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 S 133RD ST STE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371133",
            "telephone_number": "401-614-0010",
            "fax_number": "402-614-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 S 133RD ST STE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68137",
            "telephone_number": "402-614-0010",
            "fax_number": "402-614-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.