Individual provider Active NPI

Shafeyah Ameera Guenzel, FNP

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1548845142
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2205 Issued in NE
Practice address
5620 Ames Ave # 2884
Omaha, NE 68104-2702
Phone
(402) 933-0737
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2205 NE Primary

Addresses

Primary practice location

5620 Ames Ave # 2884
Omaha, NE 68104-2702

Mailing address

4340 Cooper Ave # Ne68
Lincoln, NE 68506-4257
Phone (402) 802-4094

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

State licenses

LicenseStateTypeSpecialty
2205NEMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1548845142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 COOPER AVE # NE68",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064257",
            "telephone_number": "402-802-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 AMES AVE # 2884",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042702",
            "telephone_number": "402-933-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENZEL",
        "first_name": "SHAFEYAH",
        "middle_name": "AMEERA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "2205",
            "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 Mar 15, 2021; 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.