Diabetic Outreach LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

150 Issued in NE

Legal business name

DIABETIC OUTREACH LLC

Practice address

1941 K St
Lincoln, NE 68510-1019

Phone

(402) 477-1110

Fax

(402) 477-1112

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Miss Rebecca Jo Carey, CERTIFIED PEDORTHIST

Title

Director

Phone

(402) 770-1591

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1689606170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101019",
            "telephone_number": "402-477-1110",
            "fax_number": "402-477-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101019",
            "telephone_number": "402-477-1110",
            "fax_number": "402-477-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC OUTREACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-770-1591",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252587-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5407490001",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA BCBS",
            "identifier": "09871",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Dewey, CRNA
• Zoe Dewey
• Heather A. Dews, M.D.
• Ethan Deyhle, OTD, OTR/L
• Esnath Dhliwayo
• Dialysis Center of Lincoln Inc
• Dialysis Center of Lincoln Inc
• Dialysis Center of Lincoln, Inc
• Dialysis Center of Lincoln, Inc.
• David S Diamant, MD

• Durable Medical Equipment & Medical Supplies in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.