Active NPI
Hollan Rhae Drahota, BSN, RN
- School Registered Nurse
- Papillion, NE
National Provider Identifier
1609330521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 78435
- Practice address
- 10520 S 123Rd Ave
Papillion, NE 68046-4393 - Phone
- (402) 514-3650
- NPI assigned
- Jan 24, 2019
- Last updated
- Jan 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 78435 | NE | Primary |
Addresses
Primary practice location
10520 S 123Rd Ave
Papillion, NE 68046-4393
Mailing address
4403 S 153Rd Cir
Omaha, NE 68137-5125
Phone (402) 640-3058
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78435 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1609330521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 S 153RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375125",
"telephone_number": "402-640-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 S 123RD AVE",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464393",
"telephone_number": "402-514-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAHOTA",
"first_name": "HOLLAN",
"middle_name": "RHAE",
"name_prefix": "Mrs.",
"credential": "BSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "78435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.