Active NPI
Douglas County Nebraska
- Public Health or Welfare Agency
- Omaha, NE
National Provider Identifier
1508740309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- DOUGLAS COUNTY NEBRASKA
- Practice address
- 1111 S 41St St
Omaha, NE 68105-1803 - Phone
- (402) 444-7471
- Fax
- (402) 546-0709
- NPI assigned
- Aug 4, 2025
- Organization subpart
- Yes
- Parent organization
- DOUGLAS COUNTY NEBRASKA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly McCauley
- Title
- Clinic Coordinator
- Phone
- (402) 444-7312
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Community Health Registered Nurse | 163WC1500X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | |||
| Nurse Practitioner | 363L00000X | |||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
1111 S 41St St
Omaha, NE 68105-1803
Mailing address
1111 S 41St St
Omaha, NE 68105-1803
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699989442 | Medicaid | NE | |
| 1063542884 | Medicaid | NE | |
| 1750890299 | Medicaid | NE |
Other names 1
- Douglas County Health Department Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Douglas County Hospital
- Part of
- Douglas County Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1740707447
-
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1841323284
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Omaha, NE
- NPI 1912009374
Locations
1111 S 41st St
Omaha, NE 68105
Phone (402) 444-7112
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Omaha, NE
- NPI 1871272518
-
- Women's Health Nurse Practitioner
- Omaha, NE
- NPI 1750890299
Women'S Health
-
- Occupational Therapist
- Omaha, NE
- NPI 1003167842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1508740309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S 41ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S 41ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051803",
"telephone_number": "402-444-7471",
"fax_number": "402-546-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS COUNTY NEBRASKA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DOUGLAS COUNTY NEBRASKA",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "MCCAULEY",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "CLINIC COORDINATOR",
"authorized_official_telephone_number": "402-444-7312"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699989442",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063542884",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750890299",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Douglas County Health Department Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Douglas County Health Department Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.