Individual provider Active NPI

Gina Oliveto, MD

  • Child & Adolescent Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1407872765
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
22666 Issued in NE
Practice address
657 N 58TH St
Omaha, NE 68132-2001
Phone
(402) 980-8499
Fax
(712) 350-2325
NPI assigned
Jul 13, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X DR.0069839 CO
Child & Adolescent Psychiatry Physician 2084P0804X MD-50569 IA
Child & Adolescent Psychiatry Physician 2084P0804X 320095 NY
Child & Adolescent Psychiatry Physician 2084P0804X 22666 NE Primary

Addresses

Primary practice location

657 N 58TH St
Omaha, NE 68132-2001

Mailing address

657 N 58TH St
Omaha, NE 68132-2001
Phone (402) 980-8499

Other practice location 1

7720 E Belleview Ave Ste B300
Greenwood Village, CO 80111-2615
Phone (303) 942-0512

Other identifiers 1

IdentifierTypeStateIssuer
407770099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0069839COMDChild & Adolescent Psychiatry Physician
MD-50569IAMDChild & Adolescent Psychiatry Physician
320095NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychiatry, LLC Past Accepting new patients
A Stepping Stone, LLC Past Accepting new patients
A Stepping Stone, LLC PastSince Aug 6, 2023 Accepting new patients
Community Clinical Services, Inc Past Accepting new patients
Lutheran Family Services of NE, Inc PastSince Nov 1, 2009 Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
St. Mary's Regional Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gina.oliveto.1@19923.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1407872765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 N 58TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322001",
            "telephone_number": "402-980-8499",
            "fax_number": "712-350-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 N 58TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322001",
            "telephone_number": "402-980-8499",
            "fax_number": "712-350-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 E Belleview Ave Ste B300",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112615",
            "country_code": "US",
            "telephone_number": "303-942-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVETO",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "DR.0069839",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "MD-50569",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "320095",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "22666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407770099",
            "state": "ME"
        }
    ],
    "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 Jun 29, 2023; 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.