Andrea Lynn Staton

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

72808 Issued in NE

Practice address

2728 Ida St
Omaha, NE 68112-3200

Phone

(402) 457-5611

Fax

(402) 451-4971

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1689158594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 IDA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123200",
            "telephone_number": "402-457-5611",
            "fax_number": "402-451-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 IDA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123200",
            "telephone_number": "402-457-5611",
            "fax_number": "402-451-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "72808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Nebraska Dept of Admin Services
• Emily Claire States, PA-C
• Ajalon G Station
• Devona Station
• Jinaya Marie Station
• Ashley Staton
• Rachel Nancy Staudohar, DNP, CRNA
• Jenda M Stauffer, CNM
• Kelsa L Stauffer
• Roinin Staunovo Polacco

• School Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• School Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.