Active NPI
Christopher Rathburn
- Counselor
- Lincoln, NE
National Provider Identifier
1336245141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8008
- Practice address
- 6940 Van Dorn St
Suite 201
Lincoln, NE 68506-2858 - Phone
- (402) 323-8890
- NPI assigned
- Sep 16, 2006
- Last updated
- Aug 17, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8008 | NE | Primary |
Addresses
Primary practice location
6940 Van Dorn St
Suite 201
Lincoln, NE 68506-2858
Mailing address
2611 S 40TH St
Lincoln, NE 68506-2415
Phone (402) 613-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96097 | Other | NE | BCBS AUXILARY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8008 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1336245141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 S 40TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062415",
"telephone_number": "402-613-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 VAN DORN ST",
"address_2": "SUITE 201",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062858",
"telephone_number": "402-323-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBURN",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "8008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUXILARY",
"identifier": "96097",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.