NPIMap

Organization Active NPI

Leighow Anesthesia & Medical Aesthetics LLC

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1376936112
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
LEIGHOW ANESTHESIA & MEDICAL AESTHETICS LLC
Practice address
11606 Nicholas St
Omaha, NE 68154-4478
Phone
(402) 677-7156
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Carrie LeighowNPI 1356652382
Title
Crna
Phone
(402) 677-7156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

11606 Nicholas St
Omaha, NE 68154-4478

Mailing address

PO Box 388
Newton, KS 67114-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601000518 NE Part B Supplier - Clinic/Group Practice 5597086744 Receives reassigned benefits from 40 practitioners
Practice locations: Omaha, NE; Papillion, NE; Lincoln, NE; Fremont, NE

National Provider Directory

National Provider Directory

Locations

4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1376936112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 NICHOLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544478",
            "telephone_number": "402-677-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGHOW ANESTHESIA & MEDICAL AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "LEIGHOW",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "402-677-7156"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.