Diane Annette Erdmann, RN BSN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

29841 Issued in NE

Practice address

6017 S 167TH Cir
Omaha, NE 68135-2393

Phone

(402) 707-1696

Fax

(402) 932-8581

NPI assigned

Jul 19, 2007

Reactivated

Apr 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Breastfeeding Support & Supplies of Omaha

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1861660011
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1689874406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 S 167TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681352393",
            "telephone_number": "402-707-1696",
            "fax_number": "402-932-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 S 167TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681352393",
            "telephone_number": "402-707-1696",
            "fax_number": "402-932-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMANN",
        "first_name": "DIANE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "RN BSN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-04-15",
        "deactivation_date": "2008-06-20",
        "reactivation_date": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NE",
            "license": "29841",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NE",
            "license": "19010535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025817000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan L Erb, PTA
• Madelyn Rose Erb
• Courtney N Erdly, PLP
• Jessyca Ann Erdman
• Alyssa Lynn Erdmann
• Eric and Rebekah Smith, Inc
• Eric D Hodges DDS PC
• Eric M Clements PC
• Eric M Clements PC
• Aaron Christian Erickson, MD

• Lactation Consultant (Registered Nurse) in Omaha, NE
• Providers in Omaha, NE by specialty
• Lactation Consultant (Registered Nurse) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.