Individual provider Active NPI

Lydia J Rhodes, CNM, FNP

  • Advanced Practice Midwife
  • Omaha, NE
National Provider Identifier
1699719757
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
56981 Issued in NE
Practice address
14421 Dupont CT
Omaha, NE 68144-2100
Phone
(402) 884-6400
Fax
(877) 478-4366
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 56981 NE Primary
Family Nurse Practitioner 363LF0000X 114046 NE

Addresses

Primary practice location

14421 Dupont CT
Omaha, NE 68144-2100

Mailing address

14421 Dupont CT
Omaha, NE 68144-2100
Phone (402) 664-8400

Other identifiers 1

IdentifierTypeStateIssuer
56981OtherNESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318000054 TX Practitioner - Certified Nurse Midwife (CNM) 6800890088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
114046NEMDFamily Nurse Practitioner
56981NEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Family First Medical Clinic, LLC PastSince Dec 8, 2024 Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lydiar@hffmc-ne.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1699719757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14421 DUPONT CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442100",
            "telephone_number": "402-664-8400",
            "fax_number": "877-478-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14421 DUPONT CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442100",
            "telephone_number": "402-884-6400",
            "fax_number": "877-478-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "LYDIA",
        "middle_name": "J",
        "credential": "CNM, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "56981",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "56981",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.