Active NPI
Tara Hiatt
- Clinical Social Worker
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2121 S 56TH St
Lincoln, NE 68506-2111 - Phone
- (402) 486-1500
- NPI assigned
- Mar 5, 2019
- Last updated
- Aug 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NE | Primary | |
| School Social Worker | 1041S0200X | 11719 | NE |
Addresses
Primary practice location
2121 S 56TH St
Lincoln, NE 68506-2111
Mailing address
2351 S 89TH St
Lincoln, NE 68520-1309
Phone (308) 530-8948
Other practice location 1
320 W 24th St
Kearney, NE 68845-5331
Phone (308) 627-6783
Other practice location 2
3000 7th Ave
Kearney, NE 68845-3386
Phone (308) 627-6783
Other practice location 3
8105 9th Ave
Kearney, NE 68845-8474
Phone (308) 627-6783
Other practice location 4
915 16th Ave
Kearney, NE 68845-6503
Phone (308) 627-6783
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11719 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearney Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Kearney, NE
- NPI 1649930827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1336607704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 S 89TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685201309",
"telephone_number": "308-530-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S 56TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062111",
"telephone_number": "402-486-1500"
}
],
"practiceLocations": [
{
"address_1": "320 W 24th St",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688455331",
"country_code": "US",
"telephone_number": "308-627-6783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 7th Ave",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688453386",
"country_code": "US",
"telephone_number": "308-627-6783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8105 9th Ave",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688458474",
"country_code": "US",
"telephone_number": "308-627-6783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 16th Ave",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688456503",
"country_code": "US",
"telephone_number": "308-627-6783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIATT",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "11719",
"primary": false
}
],
"identifiers": [],
"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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.