Organization Active NPI

Frontier Pediatric Care LLC

  • Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1598468449
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FRONTIER PEDIATRIC CARE LLC
Practice address
8333 Glynoaks Dr Ste 180
Lincoln, NE 68516-6378
Phone
(402) 817-2116
Fax
(402) 322-8079
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Coren Fielder
Title
Office Manager
Phone
(402) 817-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8333 Glynoaks Dr Ste 180
Lincoln, NE 68516-6378

Mailing address

8333 Glynoaks Dr Ste 180
Lincoln, NE 68516-6378
Phone (402) 817-2116

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2249221Frontier Pediatric Care LLC8333 Glynoaks Dr, Ste 180, Lincoln, NE 68516Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

8333 Glynoaks Dr
Ste 180
Lincoln, NE 68516
Phone (402) 817-2116

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1598468449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 GLYNOAKS DR STE 180",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166378",
            "telephone_number": "402-817-2116",
            "fax_number": "402-322-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 GLYNOAKS DR STE 180",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166378",
            "telephone_number": "402-817-2116",
            "fax_number": "402-322-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER PEDIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "FIELDER",
        "authorized_official_first_name": "COREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-817-2116"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.