Individual provider Active NPI

Patricia Harrison

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1538021993
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204024180 Issued in NE
Practice address
10040 Regency Cir Ste 375
Omaha, NE 68114-3755
Phone
(402) 934-0044
Fax
(402) 934-0048
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 204024180 NE Primary

Addresses

Primary practice location

10040 Regency Cir Ste 375
Omaha, NE 68114-3755

Mailing address

10040 Regency Cir Ste 375
Omaha, NE 68114-3755
Phone (402) 934-0044

Other practice location 1

4515 Seton Center Pkwy Ste 175
Austin, TX 78759-5730
Phone (512) 382-6661

Other practice location 2

5582 Memorial Dr
Stone Mountain, GA 30083-3215
Phone (402) 669-0419

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

State licenses

LicenseStateTypeSpecialty
204024180NEMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1538021993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 375",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143755",
            "telephone_number": "402-934-0044",
            "fax_number": "402-934-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 375",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143755",
            "telephone_number": "402-934-0044",
            "fax_number": "402-934-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Seton Center Pkwy Ste 175",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595730",
            "country_code": "US",
            "telephone_number": "512-382-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5582 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833215",
            "country_code": "US",
            "telephone_number": "402-669-0419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "204024180",
            "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 Nov 24, 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.

Verify at the official NPI Registry.