Active NPI
Mina Lili Massih, CFO
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
National Provider Identifier
1609010685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- CFO01950
- Practice address
- 10310 Broadmoor Court
Suite 1208
Omaha, NE 68114 - Phone
- (402) 707-1543
- NPI assigned
- Apr 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CFO01950 | VA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | CFO01950 | VA | Primary |
Addresses
Primary practice location
10310 Broadmoor Court
Suite 1208
Omaha, NE 68114
Mailing address
10310 Broadmoor Court
Suite 1208
Omaha, NE 68114
Phone (402) 707-1543
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
| License | State | Type | Specialty |
|---|---|---|---|
| CFO01950 | VA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1609010685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 BROADMOOR COURT",
"address_2": "SUITE 1208",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-707-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 BROADMOOR COURT",
"address_2": "SUITE 1208",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-707-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSIH",
"first_name": "MINA",
"middle_name": "LILI",
"credential": "CFO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "VA",
"license": "CFO01950",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "CFO01950",
"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 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.