Simone Yamdaare Redboy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112766 Issued in NE

Practice address

11348 Taylor St
Omaha, NE 68164-2341

Phone

(402) 612-7725

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Align Care

  • Dentist
  • Omaha, NE
  • NPI 1730466228
  Medicare reassignment
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1659920775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 TAYLOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 TAYLOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642341",
            "telephone_number": "402-612-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDBOY",
        "first_name": "SIMONE",
        "middle_name": "YAMDAARE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OMAHA",
            "affiliation": "N",
            "address_1": "11348 Taylor St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681642341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Red Lotus Counseling, LLC
• Red Nation Healing
• Red Sofa Mental Health, LLC
• Jocelyn Red
• Kilye Red
• Christopher J Redd, DDS
• Allison Judith Reddel, PT, DPT
• Keith Redden Sr.
• Deshawn Redding
• Balaji N Reddy, M. D

• Family Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.