Individual provider Active NPI

Rebecca Dawn Slominski, DNP APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1275013112
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
112706 Issued in NE
Practice address
11404 W Dodge Rd Ste 300
Omaha, NE 68154-2511
Phone
(402) 898-1113
Fax
(402) 819-5588
NPI assigned
Aug 20, 2018
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112706 NE Primary
Pediatric Registered Nurse 163WP0200X 51393 NE

Addresses

Primary practice location

11404 W Dodge Rd Ste 300
Omaha, NE 68154-2511

Mailing address

22025 Trailridge Blvd
Elkhorn, NE 68022-2508
Phone (402) 540-7915

Other identifiers 1

IdentifierTypeStateIssuer
10026857400MedicaidNE

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
I20190619002931 NE Practitioner - Nurse Practitioner 5395079677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verve Collaborative Health LLCGroup PAC ID 3779811989, 9 clinicians

Practice addresses (Care Compare)

11404 W Dodge Rd
Suite 300
Omaha, NE 68154-9603
Phone (402) 898-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51393NEMDPediatric Registered Nurse
112706NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Services PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rebecca.slominski.4@19923.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1275013112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22025 TRAILRIDGE BLVD",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222508",
            "telephone_number": "402-540-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542511",
            "telephone_number": "402-898-1113",
            "fax_number": "402-819-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMINSKI",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DNP APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-03-28",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112706",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NE",
            "license": "51393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026857400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.