Active NPI
Alyssa Irby
- Athletic Trainer
- Omaha, NE
National Provider Identifier
1659859833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 952
- Practice address
- 3067 S 35TH Ave
Omaha, NE 68105-3554 - Phone
- (214) 546-5279
- NPI assigned
- Jul 31, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NE | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NE | ||
| Athletic Trainer | 2255A2300X | 952 | NE | Primary |
Addresses
Primary practice location
3067 S 35TH Ave
Omaha, NE 68105-3554
Mailing address
3067 S 35TH Ave
Omaha, NE 68105-3554
Phone (214) 546-5279
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 |
|---|---|---|---|
| 952 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1659859833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3067 S 35TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681053554",
"telephone_number": "214-546-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 S 35TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681053554",
"telephone_number": "214-546-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRBY",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "952",
"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 May 21, 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.