Organization Active NPI

West Nebraska Neuro-Diagnostics, LLC

  • Neurology Physician
  • Scottsbluff, NE
National Provider Identifier
1619060225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
WEST NEBRASKA NEURO-DIAGNOSTICS, LLC
Practice address
Two West 42ND St
Suite 3500
Scottsbluff, NE 69361
Phone
(308) 630-1198
Fax
(308) 630-1657
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna R Schanaman
Title
Office Manager
Phone
(308) 630-1198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

Two West 42ND St
Suite 3500
Scottsbluff, NE 69361

Mailing address

Two West 42ND St
Suite 3500
Scottsbluff, NE 69361
Phone (308) 630-1198

National Provider Directory

National Provider Directory

Locations

2 W 42nd St
#3500
Scottsbluff, NE 69361
Phone (308) 630-1198

2 W 42nd St
Ste 3500
Scottsbluff, NE 69361
Phone (308) 630-1198

Practitioners & affiliated clinicians

Practitioners 4

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619060225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TWO WEST 42ND ST",
            "address_2": "SUITE 3500",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "69361",
            "telephone_number": "308-630-1198",
            "fax_number": "308-630-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO WEST 42ND ST",
            "address_2": "SUITE 3500",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "69361",
            "telephone_number": "308-630-1198",
            "fax_number": "308-630-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NEBRASKA NEURO-DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHANAMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-630-1198"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.