Active NPI
Rhonda S Purdy, APRN
- Nurse Practitioner
- Omaha, NE
National Provider Identifier
1356444251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 110493
- Practice address
- 7910 Cass St
Omaha, NE 68114-3582 - Phone
- (402) 991-0181
- Fax
- (402) 964-2459
- NPI assigned
- Sep 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A058793 | IA | |
| Nurse Practitioner | 363L00000X | 110493 | NE | Primary |
Addresses
Primary practice location
7910 Cass St
Omaha, NE 68114-3582
Mailing address
201 Hillsdale Dr
# 44
Treynor, IA 51575-4107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47037660412 | Medicaid | NE | |
| 0580142 | Medicaid | IA |
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 |
|---|---|---|---|
| A058793 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton University | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
-
- Physical Therapist
- Omaha, NE
- NPI 1780172304
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1356444251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HILLSDALE DR",
"address_2": "# 44",
"city": "TREYNOR",
"state": "IA",
"postal_code": "515754107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 CASS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143582",
"telephone_number": "402-991-0181",
"fax_number": "402-964-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "RHONDA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A058793",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660412",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0580142",
"state": "IA"
}
],
"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 Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.