Active NPI
Harleigh Desiree Bass, RBT
- Technician/Technologist
- Omaha, NE
National Provider Identifier
1457057473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- BACB889309
- Practice address
- 1209 Harney St Ste 105
Omaha, NE 68102-1894 - Phone
- (402) 252-8181
- NPI assigned
- Feb 1, 2023
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | BACB889309 | NE | Primary |
Addresses
Primary practice location
1209 Harney St Ste 105
Omaha, NE 68102-1894
Mailing address
2004 16TH Ave
Central City, NE 68826-2030
Phone (478) 451-7138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB889309 | Other | NE | BACB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | laptop | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB889309 | NE | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1457057473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 16TH AVE",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688262030",
"telephone_number": "478-451-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 HARNEY ST STE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021894",
"telephone_number": "402-252-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "HARLEIGH",
"middle_name": "DESIREE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "NE",
"license": "BACB889309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "BACB889309",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "laptop",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2004 16th Ave",
"city": "Central City",
"state": "NE",
"country_code": "US",
"postal_code": "688262030",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 1, 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.