Individual provider Active NPI

Roxane Marie Groenhagen

  • Adult Companion
  • Omaha, NE
National Provider Identifier
1437957800
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
5155 S 124TH Ave
Omaha, NE 68137-2128
Phone
(402) 871-0181
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

Primary practice location

5155 S 124TH Ave
Omaha, NE 68137-2128

Mailing address

5155 S 124TH Ave
Omaha, NE 68137-2128
Phone (402) 871-0181

Other practice location 1

15017 Pepperwood Dr
Omaha, NE 68154-1856
Phone (402) 905-5333

Other practice location 2

12680 C St
Omaha, NE 68144-4071
Phone (402) 871-0181

Other practice location 3

5157 S 124th Ave
Omaha, NE 68137-2128
Phone (402) 706-7173

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

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1437957800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 S 124TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372128",
            "telephone_number": "402-871-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 S 124TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372128",
            "telephone_number": "402-871-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15017 Pepperwood Dr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681541856",
            "country_code": "US",
            "telephone_number": "402-905-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12680 C St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681444071",
            "country_code": "US",
            "telephone_number": "402-871-0181",
            "fax_number": "402-509-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5157 S 124th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372128",
            "country_code": "US",
            "telephone_number": "402-706-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROENHAGEN",
        "first_name": "ROXANE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2026; 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.