NPIMap

Organization Active NPI

The Express Clinic, LLC

Doing business as Express Care Clinic

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1477759348
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE EXPRESS CLINIC, LLC
Doing business as
Express Care Clinic
Practice address
2525 Pine Lake Rd
Lincoln, NE 68512-3632
Phone
(402) 420-2094
Fax
(402) 420-2095
NPI assigned
Jun 26, 2007
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Mrs. Bette Grace Tucker, APRN
Title
Operations Manager
Phone
(402) 440-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2525 Pine Lake Rd
Lincoln, NE 68512-3632

Mailing address

PO Box 23048
Lincoln, NE 68542
Phone (402) 420-2094

Other names 1

  • Express Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000460 NE Part B Supplier - Clinic/Group Practice 7911003017 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Lincoln, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1477759348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23048",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68542",
            "telephone_number": "402-420-2094",
            "fax_number": "402-420-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123632",
            "telephone_number": "402-420-2094",
            "fax_number": "402-420-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXPRESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "402-440-1312",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.