NPIMap

Individual provider Active NPI

Alanna Braille Janssen, DO

  • Family Medicine Physician
  • Blair, NE
National Provider Identifier
1730568353
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-04891 Issued in IA
Practice address
812 N 22ND St
Blair, NE 68008-1128
Phone
(402) 426-4611
NPI assigned
May 28, 2015
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-10281 IA
Family Medicine Physician 207Q00000X DO-04891 IA Primary

Addresses

Primary practice location

812 N 22ND St
Blair, NE 68008-1128

Mailing address

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182

Other names 1

  • Alanna Braille Heinen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107001263 NE Practitioner - Family Practice 9638480692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3519 Hwy 32
Tekamah, NE 68061-5095
Phone (402) 374-1585

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182

812 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-4611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2729NEMDClinical Social Worker
R-10281IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Community Hospital Corporation CurrentSince Nov 3, 2022 Accepting new patients
Memorial Community Hospital Corporation Family Medicine CurrentSince Nov 3, 2022 Accepting new patients
Crowell Memorial Home Past Accepting new patients
Memorial Community Hospital Corporation Past Accepting new patients
Blair NF Operations LLC Past Accepting new patients

Locations

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1730568353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "ALANNA",
        "middle_name": "BRAILLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANNA",
            "last_name": "HEINEN",
            "middle_name": "BRAILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blair, NE

Sources for this page

Verify at the official NPI Registry.