Individual provider Active NPI

Jillian Vanecek, RN

  • Lactation Consultant (Registered Nurse)
  • Omaha, NE
National Provider Identifier
1437872702
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
76147 Issued in NE
Practice address
10818 Elm St
Omaha, NE 68144-4820
Phone
(402) 502-0617
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 76147 NE Primary

Addresses

Primary practice location

10818 Elm St
Omaha, NE 68144-4820

Mailing address

5930 S 58TH St Ste W
Lincoln, NE 68516-3653
Phone (402) 423-6402

Other practice location 1

5930 S 58th St Ste W
Lincoln, NE 68516-3653
Phone (402) 423-6402

Other identifiers 1

IdentifierTypeStateIssuer
76147OtherNEREGISTERED NURSE LICENSE

Other names 1

  • Jillian Ryan Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
76147NEMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Milkworks a Nebraska Nonprofit Corporation Lactation Consultant CurrentSince Jun 2, 2025 Accepting new patients
Milkworks a Nebraska Nonprofit Corporation Lactation Consultant PastSince Sep 25, 2022 Accepting new patients

Locations

5930 S 58th St
Ste W
Lincoln, NE 68516
Phone (402) 423-6402

10818 Elm St
Omaha, NE 68144
Phone (402) 502-0617

Organizations & group practices 2

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1437872702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 S 58TH ST STE W",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163653",
            "telephone_number": "402-423-6402",
            "fax_number": "402-423-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444820",
            "telephone_number": "402-502-0617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5930 S 58th St Ste W",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685163653",
            "country_code": "US",
            "telephone_number": "402-423-6402",
            "fax_number": "402-423-6422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANECEK",
        "first_name": "JILLIAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NE",
            "license": "76147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "76147",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "RYAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 22, 2022; 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.