Midwest Developmental Resources

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MIDWEST DEVELOPMENTAL RESOURCES

Practice address

4611 S 96TH St Ste 150
Omaha, NE 68127-1242

Phone

(402) 613-7198

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Ann Valencia

Title

Ed

Phone

(402) 613-7198

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Clemons

  • Contractor
  • Lincoln, NE
  • NPI 1396544466
  NPD
• Melody Lynn Judy-Stobbe

  • Personal Care Attendant
  • Omaha, NE
  • NPI 1417756784
  NPD
• Jessica M Kline

  • Contractor
  • Elkhorn, NE
  • NPI 1104626613
  NPD
• Mandy Lynn Reynolds

  • Contractor
  • Omaha, NE
  • NPI 1942009055
  NPD
• Linda Rivard

  • Contractor
  • Omaha, NE
  • NPI 1326848938
  NPD

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1457168759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271242",
            "telephone_number": "402-613-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271242",
            "telephone_number": "402-613-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DEVELOPMENTAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "402-613-7198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Anesthesia Services LLC
• Midwest Brain Training Institute
• Midwest Cardiology , P.C.
• Midwest Comfortable Living LLC
• Midwest Dermatology Clinic, P.C.
• Midwest Ear, Nose & Throat Clinic, P.C.
• Midwest Endodontics, LLC (Midwest Endodontics)
• Midwest Endoscopy Services LLC
• Midwest Eye Care PC
• Midwest Eye Care PC

• Developmental Disabilities Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Developmental Disabilities Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.