Individual provider Active NPI

Nkem Emesih

  • Other Technician
  • Omaha, NE
National Provider Identifier
1578829784
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
380101061140606 Issued in NE
Practice address
10706 Ellison PLZ
#9
Omaha, NE 68134-1183
Phone
(402) 616-7991
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 380101061140606 NE Primary

Addresses

Primary practice location

10706 Ellison PLZ
#9
Omaha, NE 68134-1183

Mailing address

10706 Ellison PLZ
#9
Omaha, NE 68134-1183
Phone (402) 616-7991

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
380101061140606NEMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1578829784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 ELLISON PLZ",
            "address_2": "#9",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341183",
            "telephone_number": "402-616-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 ELLISON PLZ",
            "address_2": "#9",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341183",
            "telephone_number": "402-616-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMESIH",
        "first_name": "NKEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NE",
            "license": "380101061140606",
            "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 3, 2012; 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.