Active NPI
Constance Bloomquist, RN BSN
- School Registered Nurse
- Wausa, NE
National Provider Identifier
1366007361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 35916
- Practice address
- 300 S Bismark St
Wausa, NE 68786-2038 - Phone
- (402) 586-2255
- NPI assigned
- May 6, 2019
- Last updated
- May 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 35916 | NE | Primary |
Addresses
Primary practice location
300 S Bismark St
Wausa, NE 68786-2038
Mailing address
300 S Bismark St
Wausa, NE 68786-2038
Phone (402) 586-2255
Other practice location 1
1609 Redick Ave
Creighton, NE 68729-2967
Phone (402) 358-5000
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35916 | NE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton Community School | Past | Accepting new patients | |
| School District 76R | Past | Accepting new patients |
Organizations & group practices 2
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)
- Creighton, NE
- NPI 1750186953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1366007361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BISMARK ST",
"city": "WAUSA",
"state": "NE",
"postal_code": "687862038",
"telephone_number": "402-586-2255",
"fax_number": "402-586-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BISMARK ST",
"city": "WAUSA",
"state": "NE",
"postal_code": "687862038",
"telephone_number": "402-586-2255"
}
],
"practiceLocations": [
{
"address_1": "1609 Redick Ave",
"address_purpose": "LOCATION",
"city": "Creighton",
"state": "NE",
"postal_code": "687292967",
"country_code": "US",
"telephone_number": "402-358-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOMQUIST",
"first_name": "CONSTANCE",
"credential": "RN BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "35916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausa, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.