Active NPI
Jolene Ann Pike, APRN
- Adult Health Nurse Practitioner
- Beatrice, NE
National Provider Identifier
1326117243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 110368
- Practice address
- 3000 Lincoln
Beatrice, NE 68310 - Phone
- (402) 223-6137
- Fax
- (402) 223-7589
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 110368 | NE | Primary |
Addresses
Primary practice location
3000 Lincoln
Beatrice, NE 68310
Mailing address
3000 Lincoln
Beatrice, NE 68310
Phone (402) 223-6137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110368 | Medicaid | NE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110368 | NE | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1326117243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 LINCOLN",
"city": "BEATRICE",
"state": "NE",
"postal_code": "68310",
"telephone_number": "402-223-6137",
"fax_number": "402-223-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 LINCOLN",
"city": "BEATRICE",
"state": "NE",
"postal_code": "68310",
"telephone_number": "402-223-6137",
"fax_number": "402-223-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "JOLENE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "110368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110368",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.