Organization Active NPI

Self Care LLC

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1518600840
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SELF CARE LLC
Practice address
18655 Summit Cir
Omaha, NE 68136-6422
Phone
(402) 250-8476
NPI assigned
Apr 14, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Ashley M Self, DNPNPI 1083161889
Title
Medical Director
Phone
(402) 250-8476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

18655 Summit Cir
Omaha, NE 68136-6422

Mailing address

18655 Summit Cir
Omaha, NE 68136-6422
Phone (402) 250-8476

Other practice location 1

16663 Read St
Bennington, NE 68007-1689
Phone (402) 968-3712

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1518600840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18655 SUMMIT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681366422",
            "telephone_number": "402-250-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18655 SUMMIT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681366422",
            "telephone_number": "402-250-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16663 Read St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "NE",
            "postal_code": "680071689",
            "country_code": "US",
            "telephone_number": "402-968-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-250-8476",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 14, 2022; 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.