Individual provider Active NPI

Leslie Echeverria, RN

  • School Registered Nurse
  • Omaha, NE
National Provider Identifier
1649825050
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
79691 Issued in NE
Practice address
8210 S 42ND St
Omaha, NE 68147-1705
Phone
(531) 299-2300
Fax
(531) 299-2319
NPI assigned
Aug 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 79691 NE Primary

Addresses

Primary practice location

8210 S 42ND St
Omaha, NE 68147-1705

Mailing address

12931 Chandler St
Omaha, NE 68138-6015
Phone (402) 301-3712

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
79691NEMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1649825050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 CHANDLER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386015",
            "telephone_number": "402-301-3712",
            "fax_number": "531-299-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 S 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681471705",
            "telephone_number": "531-299-2300",
            "fax_number": "531-299-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "LESLIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "79691",
            "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 Aug 3, 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.

Verify at the official NPI Registry.