Complete Endocrinology, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

25490 Issued in NE

Legal business name

COMPLETE ENDOCRINOLOGY, LLC

Practice address

2200 S 40TH St Ste 102
Lincoln, NE 68506-2424

Phone

(402) 405-0500

Fax

(402) 405-0505

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Shannon E Wakeley, MD

Title

Physician

Phone

(402) 206-9104

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720328081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S 40TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062424",
            "telephone_number": "402-405-0500",
            "fax_number": "402-405-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S 40TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062424",
            "telephone_number": "402-405-0500",
            "fax_number": "402-405-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WAKELEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-206-9104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NE",
            "license": "25490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1720328081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01189738",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "28D2054224",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Endocrinology, Diabetes & Metabolism Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.