Active NPI
Iman Elhaj Omar
- School Registered Nurse
- Papillion, NE
National Provider Identifier
1639762669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 12773
- Practice address
- 1004 Gold Coast Rd
Papillion, NE 68046-4293 - Phone
- (614) 598-9795
- NPI assigned
- Feb 20, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 12773 | NE | Primary |
Addresses
Primary practice location
1004 Gold Coast Rd
Papillion, NE 68046-4293
Mailing address
1004 Gold Coast Rd
Papillion, NE 68046-4293
Phone (614) 598-9795
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 |
|---|---|---|---|
| 12773 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1639762669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 GOLD COAST RD",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464293",
"telephone_number": "614-598-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 GOLD COAST RD",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464293",
"telephone_number": "614-598-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHAJ OMAR",
"first_name": "IMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "12773",
"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 Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.