Stand Fast in Freedom

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

STAND FAST IN FREEDOM

Practice address

2916 S 132ND St # 138
Omaha, NE 68144-3409

Phone

(208) 858-2010

NPI assigned

Jul 5, 2019

Organization subpart

No

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

Authorized official

Name

A Johnson, MD

Title

President

Phone

(402) 858-2010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1730741133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 S 132ND ST # 138",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 S 132ND ST # 138",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443409",
            "telephone_number": "208-858-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND FAST IN FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-858-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Stamp, RN
• Brooke Stamper, OTR/L
• Karissa Stancato
• Marvin L Stancil, MD
• Anne M Stanco, PT, PHD
• Amanda Shay Stander, NP
• Taren Stander
• Ann Marie Standley
• Mandy Lynn Standley, LIMHP
• Angela Stanek

• Emotionally Disturbed Childrens' Residential Treatment Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.