Essential Family Medicine of Omaha, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC

Practice address

17520 Wright St
Suite 105
Omaha, NE 68130-4657

Phone

(402) 991-5353

Fax

(402) 991-5444

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Lynn Andersen

Title

Practice Administrator

Phone

(402) 319-5298

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Ellie Danielle Burks, APRN

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1851150627
  Medicare reassignment Care Compare group NPD
• Amanda Lynn Kester, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1740249176
  Medicare reassignment Care Compare group NPD
• Angela Law, MD

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1336294487
  Medicare reassignment Care Compare group NPD
• Julie Spencer, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1447300447
  Medicare reassignment Care Compare group NPD
• Jacque L Langford-Karre, APRN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1174003941
  Medicare reassignment NPD
• Jeffrey John Brewer, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1346273976
  NPD (past)
• Jaimie Lynn Kruger, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1578584983
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1407225477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680100037",
            "telephone_number": "402-319-5298",
            "fax_number": "402-505-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 WRIGHT ST",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304657",
            "telephone_number": "402-991-5353",
            "fax_number": "402-991-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-319-5298"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yazmin De Jesus Esquivel-Ramirez
• Niyobuhungiro Jeselyne Esron
• Hesham Fawzy Mahmoud Ali Essa, MBBCH
• Eric A. Essen, OTD, OTR/L
• Essential Breastfeeding Support, LLC
• Connie Esser
• Debra Esser, M.D.
• Sunday U Essien
• Billie Esslinger
• Mark David Essner, DDS

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.