Jose Gary Nadala Corporation

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

JOSE GARY NADALA CORPORATION

Doing business as

Jose Gary Nadala

Practice address

2222 S 16TH St Ste 410
Lincoln, NE 68502-3785

Phone

(402) 474-1511

Fax

(402) 474-1611

NPI assigned

Dec 9, 2020

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Witzke-Konradi

Title

Manager

Phone

(402) 474-1511

Specialties & licenses 1

Addresses

Other names 1

• JOSE GARY NADALA Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: records@plazawestpsychiatrists.direct.kno2fy.com

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.

• Jose Gary B Nadala, MD

  • Child & Adolescent Psychiatry Physician
  • Lincoln, NE
  • NPI 1396882916
  NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1548866064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-474-1511",
            "fax_number": "402-474-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-474-1511",
            "fax_number": "402-474-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE GARY NADALA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "WITZKE-KONRADI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-474-1511"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@plazawestpsychiatrists.direct.kno2fy.com",
            "affiliation": "N",
            "address_1": "2222 S 16th St Ste 410",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JOSE GARY NADALA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JOSE GARY NADALA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jadyn Nichole Jorgensen
• Jeremiah J. Jorgensen, PT, MPT
• Kari Ann Jorgensen, PT, MPT
• Kassandra Jorgensen
• Hannah Lynn Jorgenson
• Joseph S Swoboda PHD LLC
• Christina Joseph
• Donia Joseph
• Marina Joseph
• Navya M Joseph, MD

• Child & Adolescent Psychiatry Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Child & Adolescent Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.