Origen Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ORIGEN HEALTHCARE LLC

Practice address

12313 Gold St
Omaha, NE 68144-2760

Phone

(402) 680-1802

Fax

(402) 939-0069

NPI assigned

Jul 17, 2024

Last updated

Oct 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nazira Usmanova, PMHNP, PNP, AGNPNPI 1902444979

Title

Ceo/Owner

Phone

(402) 680-1802

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nazira Usmanova

  • Psychiatric/Mental Health Nurse Practitioner
  • Boys Town, NE
  • NPI 1902444979

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1659119204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 SOUTHSHORE ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463626",
            "telephone_number": "402-680-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12313 GOLD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442760",
            "telephone_number": "402-680-1802",
            "fax_number": "402-939-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "USMANOVA",
        "authorized_official_first_name": "NAZIRA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "402-680-1802",
        "authorized_official_credential": "PMHNP, PNP, AGNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadence Orellana
• Maria Orellana
• Rosa Orellana
• Judith Ann Orendorff
• Terry Lee Oreskovich Jr., BC-HIS, B.S.
• Orion Medical Inc
• Kassandra Orji
• Kayla Dawn Orndorff
• Daissy Ornelas
• Jeny Belen Orona Panuco, RN

• Psychiatric/Mental Health Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.