Individual provider Active NPI

Briana Harris Mayle, APRN

  • Women's Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1477906196
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
112060 Issued in NE
Practice address
4930 S 30TH St
Omaha, NE 68107-1521
Phone
(402) 734-4110
Fax
(402) 734-3990
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 112060 NE Primary
Women's Health Nurse Practitioner 363LW0102X F168162 IA

Addresses

Primary practice location

4930 S 30TH St
Omaha, NE 68107-1521

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800

Other names 1

  • Briana Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222001743 NE Practitioner - Nurse Practitioner 7810271616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112060NEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: briana.mayle.p1@direct.oneworldomaha.nextgenshare.com

Organizations & group practices 17

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.

View all 17

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneworld Community Health Centers Inc 56 clinicians

Practice addresses (Care Compare)

2723 Q St
Omaha, NE 68107-3408
Phone (402) 913-2400

3121 U St
Omaha, NE 68107-3378
Phone (402) 933-4968

4215 S 20TH St
Omaha, NE 68107-2018
Phone (402) 932-7014

4310 S 24TH St
Omaha, NE 68107-1805
Phone (402) 502-8880

4910 S 30TH St
Suite 103
Omaha, NE 68107-1519
Phone (402) 734-4110

4920 S 30TH St
Suite 103
Omaha, NE 68107-1656
Phone (402) 734-4110

4930 S 30TH St
Omaha, NE 68107-1521
Phone (402) 734-4110

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1477906196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 S 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071521",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "712-328-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS MAYLE",
        "first_name": "BRIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "112060",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F168162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "HARRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.