Individual provider Active NPI

Lorraine Baas Rubarth, PHD, APRN, NNP-BC

  • Neonatal Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1659593242
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
110743 Issued in NE
Practice address
Creighton University School of Nursing
2500 California Plaza
Omaha, NE 68178-0001
Phone
(402) 280-2604
Fax
(402) 280-2158
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 110743 NE Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X 110743 NE

Addresses

Primary practice location

Creighton University School of Nursing
2500 California Plaza
Omaha, NE 68178-0001

Mailing address

2303 S 183Rd Cir
Omaha, NE 68130-2786
Phone (402) 502-9801

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
110743NEMDCritical Care Neonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1659593242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S 183RD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302786",
            "telephone_number": "402-502-9801",
            "fax_number": "402-502-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREIGHTON UNIVERSITY SCHOOL OF NURSING",
            "address_2": "2500 CALIFORNIA PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780001",
            "telephone_number": "402-280-2604",
            "fax_number": "402-280-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBARTH",
        "first_name": "LORRAINE",
        "middle_name": "BAAS",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NE",
            "license": "110743",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NE",
            "license": "110743",
            "primary": false
        }
    ],
    "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 Mar 25, 2010; 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.