Active NPI
Alice I Rogers, APRN
- Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1720096100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 47279
- Practice address
- 555 S 70TH St
Lincoln, NE 68510-2462 - Phone
- (402) 219-7142
- Fax
- (402) 219-8961
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- 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 Practitioner | 363L00000X | 47279 | NE | Primary |
Addresses
Primary practice location
555 S 70TH St
Lincoln, NE 68510-2462
Mailing address
8055 O St
Ste 300
Lincoln, NE 68510-2580
Phone (402) 421-0896
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37952 | Other | BCBS | |
| 470780857 34 | Medicaid | NE | |
| 6719 | Other | MIDLANDS CHOICE |
Other names 1
- Alice I Olson Noah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47279 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Physician Network LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1720096100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102580",
"telephone_number": "402-421-0896",
"fax_number": "402-421-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102462",
"telephone_number": "402-219-7142",
"fax_number": "402-219-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ALICE",
"middle_name": "I",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "47279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37952",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470780857 34",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "6719",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "OLSON NOAH",
"middle_name": "I",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.