NPIMap

Organization Active NPI

Regeneration P.C.

  • Primary Care Clinic/Center
  • Lincoln, NE
National Provider Identifier
1508316720
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
110335 Issued in NE
Legal business name
REGENERATION P.C.
Practice address
6030 Village Dr Ste 100
Lincoln, NE 68516-4773
Phone
(402) 483-0431
Fax
(402) 483-9905
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Kelly Thelen, APRN
Title
Owner
Phone
(402) 483-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 110335 NE Primary

Addresses

Primary practice location

6030 Village Dr Ste 100
Lincoln, NE 68516-4773

Mailing address

6030 Village Dr Ste 100
Lincoln, NE 68516-4773
Phone (402) 483-0431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1508316720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 VILLAGE DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164773",
            "telephone_number": "402-483-0431",
            "fax_number": "402-483-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 VILLAGE DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164773",
            "telephone_number": "402-483-0431",
            "fax_number": "402-483-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-483-0431",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NE",
            "license": "110335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 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.

Verify at the official NPI Registry.