Individual provider Active NPI

Tianna Marie Hermandson, BSN

  • Ambulatory Care Registered Nurse
  • Omaha, NE
National Provider Identifier
1265943088
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
66740 Issued in NE
Practice address
1299 Farnam St
Omaha, NE 68102-1880
Phone
(402) 401-2809
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 66740 NE
Ambulatory Care Registered Nurse 163WP2201X 66740 NE Primary

Addresses

Primary practice location

1299 Farnam St
Omaha, NE 68102-1880

Mailing address

1299 Farnam St
Omaha, NE 68102-1880
Phone (402) 401-2809

Other names 1

  • Ms. Tianna Marie Cole Former name

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
66740NEMDAmbulatory Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1265943088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021880",
            "telephone_number": "402-401-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021880",
            "telephone_number": "402-401-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANDSON",
        "first_name": "TIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NE",
            "license": "66740",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NE",
            "license": "66740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIANNA",
            "last_name": "COLE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.