NPIMap

Organization Active NPI

Amberger LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1730724584
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMBERGER LLC
Practice address
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone
(402) 740-9602
Fax
(402) 740-9602
NPI assigned
Nov 14, 2019
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Amber Grob, APRNNPI 1215431556
Title
Aprn/Owner
Phone
(402) 740-9602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200

Mailing address

16307 Manderson St
Omaha, NE 68116-2901
Phone (402) 779-9195

Other practice location 1

3610 N 163rd Plz Ste 207
Omaha, NE 68116-2164
Phone (402) 779-9195

Other identifiers 1

IdentifierTypeStateIssuer
10026811001MedicaidNE

Other names 1

  • Monarch Mental Health Other name

National Provider Directory

National Provider Directory

Locations

3610 N 163rd Plz
Ste 207
Omaha, NE 68116
Phone (402) 779-9195

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1730724584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16307 MANDERSON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162901",
            "telephone_number": "402-779-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-740-9602",
            "fax_number": "402-740-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 N 163rd Plz Ste 207",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681162164",
            "country_code": "US",
            "telephone_number": "402-779-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBERGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "GROB",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "402-740-9602",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026811001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 29, 2020; 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.