Active NPI
Lathaniel Bradford
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1700785458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 4829 Taylor St
Omaha, NE 68104-5217 - Phone
- (531) 210-1390
- NPI assigned
- Oct 31, 2026
- Last updated
- Oct 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
4829 Taylor St
Omaha, NE 68104-5217
Mailing address
4829 Taylor St
Omaha, NE 68104-5217
Phone (531) 210-1390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793404800000",
"number": "1700785458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4829 TAYLOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681045217",
"telephone_number": "531-210-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4829 TAYLOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681045217",
"telephone_number": "531-210-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "LATHANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-31",
"last_updated": "2026-10-31",
"certification_date": "2026-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.