Active NPI
Jennifer Treadway, RN, BSN
- Registered Nurse
- Papillion, NE
National Provider Identifier
1497259444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 54931
- Practice address
- 1701 Hardwood Dr
Papillion, NE 68046-4502 - Phone
- (402) 898-0405
- NPI assigned
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 54931 | NE | Primary |
Addresses
Primary practice location
1701 Hardwood Dr
Papillion, NE 68046-4502
Mailing address
8001 S 94TH St
La Vista, NE 68128-2888
Phone (402) 290-7667
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 |
|---|---|---|---|
| 54931 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1497259444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 S 94TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282888",
"telephone_number": "402-290-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 HARDWOOD DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464502",
"telephone_number": "402-898-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "JENNIFER",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "54931",
"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 Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.