Active NPI
Mary Jo Burkhardt, RN, BSN, CDE
- Diabetes Educator Registered Nurse
- Omaha, NE
National Provider Identifier
1457685489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 40064
- Practice address
- 7100 W Center Rd
Omaha, NE 68106-2714 - Phone
- (402) 506-9000
- Fax
- (402) 506-9093
- NPI assigned
- Sep 23, 2009
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 40064 | NE | Primary |
Addresses
Primary practice location
7100 W Center Rd
Omaha, NE 68106-2714
Mailing address
7100 W Center Rd
Omaha, NE 68106-2714
Phone (402) 506-9000
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40064 | NE | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1457685489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W CENTER RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062714",
"telephone_number": "402-506-9000",
"fax_number": "402-506-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W CENTER RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062714",
"telephone_number": "402-506-9000",
"fax_number": "402-506-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "MARY JO",
"credential": "RN, BSN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NE",
"license": "40064",
"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 Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.