Organization Active NPI

Nebraska Pediatric Practice, Inc

  • Nutrition Education Nutritionist
  • Omaha, NE
National Provider Identifier
1275287393
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
NEBRASKA PEDIATRIC PRACTICE, INC
Practice address
8552 Cass St
Childrens Endocrinology Diabetes Education Program
Omaha, NE 68114-3567
Phone
(402) 955-3871
Fax
(402) 955-8738
NPI assigned
Feb 8, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Amy Hatcher
Title
Executive Vice President
Phone
(402) 955-6795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

8552 Cass St
Childrens Endocrinology Diabetes Education Program
Omaha, NE 68114-3567

Mailing address

8552 Cass St
Childrens Endocrinology Diabetes Education Program
Omaha, NE 68114-3567
Phone (402) 955-3871

National Provider Directory

National Provider Directory

Locations

8552 Cass St
Omaha, NE 68114
Phone (402) 393-8443

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1275287393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 CASS ST",
            "address_2": "CHILDRENS ENDOCRINOLOGY DIABETES EDUCATION PROGRAM",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143567",
            "telephone_number": "402-955-3871",
            "fax_number": "402-955-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 CASS ST",
            "address_2": "CHILDRENS ENDOCRINOLOGY DIABETES EDUCATION PROGRAM",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143567",
            "telephone_number": "402-955-3871",
            "fax_number": "402-955-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA PEDIATRIC PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "402-955-6795"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "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 Feb 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.

Verify at the official NPI Registry.