Individual provider Active NPI

Laura Renee Tvrdy, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1598004590
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1719 Issued in NE
Practice address
1336 W a St Ste B
Lincoln, NE 68522-1231
Phone
(402) 465-5600
Fax
(402) 327-6074
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1719 NE Primary

Addresses

Primary practice location

1336 W a St Ste B
Lincoln, NE 68522-1231

Mailing address

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

Other practice location 1

3262 Salt Creek Cir
Lincoln, NE 68504-4761
Phone (402) 465-5600

Other practice location 2

4020 Hohensee Dr
Lincoln, NE 68516-3927
Phone (402) 465-5600

Other practice location 3

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1719NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Epn of Nebraska LLC CurrentSince Nov 4, 2019 Accepting new patients
Complete Children'S Health, P.C. Physician Assistant Past Accepting new patients

Locations

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1598004590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 NORTHWOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053092",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W A ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221231",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3262 Salt Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685044761",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Hohensee Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685163927",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685053092",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TVRDY",
        "first_name": "LAURA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.