Active NPI
Richard Shawn Wittrock
- Peer Specialist
- Omaha, NE
National Provider Identifier
1629901137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPSS-530
- Practice address
- 3300 N 60TH St BLDG C
Omaha, NE 68104-3402 - Phone
- (402) 553-3000
- NPI assigned
- Jun 4, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPSS-530 | NE | Primary |
Addresses
Primary practice location
3300 N 60TH St BLDG C
Omaha, NE 68104-3402
Mailing address
3300 N 60TH St BLDG C
Omaha, NE 68104-3402
Phone (402) 553-3000
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 |
|---|---|---|---|
| CPSS-530 | NE | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1629901137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N 60TH ST BLDG C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-553-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N 60TH ST BLDG C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-553-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTROCK",
"first_name": "RICHARD",
"middle_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NE",
"license": "CPSS-530",
"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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.