Individual provider Active NPI

Christina Nicole Hadley, APRN NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1447656012
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111550 Issued in NE
Practice address
6012 N 102ND St Unit 34507
Omaha, NE 68134-1239
Phone
(402) 819-7915
Fax
(862) 263-9115
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111550 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111550 NE Primary

Addresses

Primary practice location

6012 N 102ND St Unit 34507
Omaha, NE 68134-1239

Mailing address

6012 N 102ND St Unit 34507
Omaha, NE 68134-1239
Phone (402) 819-7915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909000847 NE Practitioner - Nurse Practitioner 0840506721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11422 Miracle Hills Dr
Suite 401
Omaha, NE 68154-4420
Phone (402) 651-6817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
111550NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Integrative Psychiatric Care Inc CurrentSince Dec 27, 2023 Accepting new patients
Omaha Insomnia and Psychiatric Services, LLC CurrentSince Jan 1, 2021 Accepting new patients
Omaha Insomnia and Psychiatric Services, LLC CurrentSince Jan 1, 2021 Accepting new patients
Alegent Creighton Clinic PastSince Oct 6, 2015 Accepting new patients

Locations

13917 Gold Cir
Omaha, NE 68144
Phone (402) 991-9630

6012 N 102nd St
Unit 34507
Omaha, NE 68134
Phone (402) 819-7915

11422 Miracle Hills Dr
Ste 401
Omaha, NE 68154
Phone (402) 590-2590

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1447656012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 N 102ND ST UNIT 34507",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341239",
            "telephone_number": "402-819-7915",
            "fax_number": "862-263-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 N 102ND ST UNIT 34507",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341239",
            "telephone_number": "402-819-7915",
            "fax_number": "862-263-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111550",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.