Organization Active NPI

Family Medicine and Urgent Care of Grand Island LLC

  • Family Medicine Physician
  • Grand Island, NE
National Provider Identifier
1568968543
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE AND URGENT CARE OF GRAND ISLAND LLC
Practice address
423 W 4TH St
Grand Island, NE 68801-4503
Phone
(308) 675-3900
Fax
(308) 675-3899
NPI assigned
Mar 30, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Dawn Gay Nahrstedt, DNP, APRNC
Title
Manager/Provider
Phone
(308) 675-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

423 W 4TH St
Grand Island, NE 68801-4503

Mailing address

423 W 4TH St
Grand Island, NE 68801-4503
Phone (308) 675-3900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1568968543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W 4TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014503",
            "telephone_number": "308-675-3900",
            "fax_number": "308-675-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W 4TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014503",
            "telephone_number": "308-675-3900",
            "fax_number": "308-675-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE AND URGENT CARE OF GRAND ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NAHRSTEDT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "MANAGER/PROVIDER",
        "authorized_official_telephone_number": "308-675-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRNC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.