Active NPI
Mindy Oetter, OTRL
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1740369503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 716
- Practice address
- 444 S 44TH St
Omaha, NE 68131-3727 - Phone
- (402) 559-6415
- NPI assigned
- Nov 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 716 | NE | Primary |
Addresses
Primary practice location
444 S 44TH St
Omaha, NE 68131-3727
Mailing address
985450 Nebraska Med Ctr
Omaha, NE 68198-5450
Phone (402) 559-8943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025291000 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6902 Pine St
Omaha, NE 68106-2855
Phone (402) 559-6418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 716 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Nebraska Board of Regents | Current | Accepting new patients | |
| University of Nebraska Board of Regents | Current | Accepting new patients | |
| University of Nebraska Board of Regents | Past | Accepting new patients |
Locations
6902 Pine St
Omaha, NE 68106
Phone (402) 559-6418
985450 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-6408
444 S 44th St
Omaha, NE 68131
Phone (402) 559-3563
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1740369503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985450 NEBRASKA MED CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985450",
"telephone_number": "402-559-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S 44TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681313727",
"telephone_number": "402-559-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OETTER",
"first_name": "MINDY",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025291000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.