Active NPI
Claire Christine Fanta
- Physician Assistant
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 555 S 70TH St
Lincoln, NE 68510-2462 - Phone
- (402) 219-7142
- NPI assigned
- Sep 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
555 S 70TH St
Lincoln, NE 68510-2462
Mailing address
7150 Holmes Park Rd Apt 307
Lincoln, NE 68506-4685
Phone (402) 358-0734
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2873 | NE | MD | Occupational Therapist |
| 118356 | IA | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current | Accepting new patients | |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| St. Mary'S Community Hospital | Current | Accepting new patients | |
| Alegent Creighton Clinic | Physician Assistant | Current | Accepting new patients |
| The Physician Network | Past | Accepting new patients |
Locations
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
2771 Solution Ctr
Chicago, IL 60677
555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000
1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110
2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
Organizations & group practices 6
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
-
- Critical Access Hospital
- Nebraska City, NE
- NPI 1528016995
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Physician Assistant
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1376264929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 HOLMES PARK RD APT 307",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685064685",
"telephone_number": "402-358-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102462",
"telephone_number": "402-219-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANTA",
"first_name": "CLAIRE",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.