Active NPI
Thea Helen Bauer, APRN-NP
- Nurse Practitioner
- Papillion, NE
National Provider Identifier
1457704330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112051
- Practice address
- 249 Olson Dr
Suite 111
Papillion, NE 68046-2972 - Phone
- (402) 991-2200
- Fax
- (402) 991-2242
- NPI assigned
- Jul 15, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112051 | NE | Primary |
Addresses
Primary practice location
249 Olson Dr
Suite 111
Papillion, NE 68046-2972
Mailing address
249 Olson Dr
Suite 111
Papillion, NE 68046-2972
Phone (402) 991-2200
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1457704330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 OLSON DR",
"address_2": "SUITE 111",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462972",
"telephone_number": "402-991-2200",
"fax_number": "402-991-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 OLSON DR",
"address_2": "SUITE 111",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462972",
"telephone_number": "402-991-2200",
"fax_number": "402-991-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "THEA",
"middle_name": "HELEN",
"credential": "APRN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "112051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.