Tasha F Max

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

9100 Peregrine Rd
Lincoln, NE 68505-2693

Phone

(402) 413-6363

NPI assigned

Feb 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Traci N Deboer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1427863786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 PEREGRINE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052693",
            "telephone_number": "816-299-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 PEREGRINE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052693",
            "telephone_number": "402-413-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "TASHA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "DEBOER",
            "middle_name": "N",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roy L Maurer, PA - C
• Mary Maus
• Kenneth James Mausbach, MS
• Jade Max, SLP
• Marion Max, PHARM.D.
• Maxim Healthcare Services, Inc.
• Marah Maxson
• Alyssa Maxwell
• Heather Joyce Maxwell
• Mark Alan Maxwell

• Contractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Contractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.