Active NPI
Robyn Thiede, APRN, FNP-C
- Family Nurse Practitioner
- Offutt Afb, NE
National Provider Identifier
1457766909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1920
- Practice address
- 2501 Capehart Road
Family Medicine Residency Clinic, Ehrling Bergquist
Offutt Afb, NE 68113 - Phone
- (402) 232-2273
- NPI assigned
- Jun 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1920 | NE | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 1920 | NE |
Addresses
Primary practice location
2501 Capehart Road
Family Medicine Residency Clinic, Ehrling Bergquist
Offutt Afb, NE 68113
Mailing address
2501 Capehart Road
Family Medicine Residency Clinic, Ehrling Bergquist
Offutt Afb, NE 68113
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 |
|---|---|---|---|
| 1920 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naturally Healthy Kids LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1487076162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1457766909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CAPEHART ROAD",
"address_2": "FAMILY MEDICINE RESIDENCY CLINIC, EHRLING BERGQUIST",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "68113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CAPEHART ROAD",
"address_2": "FAMILY MEDICINE RESIDENCY CLINIC, EHRLING BERGQUIST",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "68113",
"telephone_number": "402-232-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEDE",
"first_name": "ROBYN",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "1920",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NE",
"license": "1920",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Offutt Afb, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.