Individual provider Active NPI

Katherine M Linehan, APRN

  • Women's Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1366725962
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
111301 Issued in NE
Practice address
119 N 51St St Ste 200
Omaha, NE 68132-2867
Phone
(402) 932-8020
Fax
(402) 905-3042
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 111301 NE Primary

Addresses

Primary practice location

119 N 51St St Ste 200
Omaha, NE 68132-2867

Mailing address

119 N 51St St Ste 200
Omaha, NE 68132-2867
Phone (402) 932-8020

Other practice location 1

16909 Lakeside Hills Ct Ste 201
Omaha, NE 68130-4661
Phone (402) 991-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111107000202 NE Practitioner - Nurse Practitioner 4284807371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omaha OBGYN Associates PCGroup PAC ID 5799750667, 10 clinicians

Practice addresses (Care Compare)

119 N 51St St
Suite 200
Omaha, NE 68132-2867
Phone (402) 932-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha OBGYN Associates PC CurrentSince Oct 1, 2020 Accepting new patients

Locations

16909 Lakeside Hills Ct
Ste 201
Omaha, NE 68130
Phone (402) 991-1900

119 N 51st St
Ste 200
Omaha, NE 68132
Phone (402) 552-2700

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1366725962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N 51ST ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322867",
            "telephone_number": "402-932-8020",
            "fax_number": "402-905-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 51ST ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322867",
            "telephone_number": "402-932-8020",
            "fax_number": "402-905-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16909 Lakeside Hills Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681304661",
            "country_code": "US",
            "telephone_number": "402-991-1900",
            "fax_number": "402-905-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINEHAN",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "111301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.