Active NPI
Stephanie Ellen McCormick, NP-C
- Nurse Practitioner
- Omaha, NE
National Provider Identifier
1518211333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0000032
- Practice address
- 2727 S 144TH St
Omaha, NE 68144-5225 - Phone
- (402) 778-5200
- Fax
- (402) 778-5216
- NPI assigned
- Oct 31, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0000032 | CO | Primary |
Addresses
Primary practice location
2727 S 144TH St
Omaha, NE 68144-5225
Mailing address
2727 S 144TH St
Omaha, NE 68144-5225
Phone (402) 778-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07683731 | Medicaid | CO | |
| 0000032 | Other | CO | STATE OF COLORADO LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1518211333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445225",
"telephone_number": "402-778-5200",
"fax_number": "402-778-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445225",
"telephone_number": "402-778-5200",
"fax_number": "402-778-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "STEPHANIE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "0000032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07683731",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO LICENSE",
"identifier": "0000032",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}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 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.