Organization Active NPI

Renewed Image LLC

  • Mastectomy Fitter
  • Omaha, NE
National Provider Identifier
1396629598
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
RENEWED IMAGE LLC
Practice address
807 Turner Blvd
Omaha, NE 68105-1927
Phone
(402) 779-6364
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Brianna Weber, DNP, FNP-BCNPI 1861278004
Title
Owner
Phone
(402) 779-6364

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
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X Primary

Addresses

Primary practice location

807 Turner Blvd
Omaha, NE 68105-1927

Mailing address

807 Turner Blvd
Omaha, NE 68105-1927
Phone (402) 779-6364

Other names 1

  • Renewed Image Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1396629598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 TURNER BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051927",
            "telephone_number": "402-779-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 TURNER BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051927",
            "telephone_number": "402-779-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED IMAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-779-6364",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Image",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.