NPIMap

Organization Active NPI

Ponca Tribe of Nebraska

  • Health Service Clinic/Center
  • Omaha, NE
National Provider Identifier
1740681832
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PONCA TRIBE OF NEBRASKA
Practice address
2602 J St
Omaha, NE 68107-1643
Phone
(402) 734-5275
Fax
(402) 734-5708
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Ms. Kathy M Rieb, MS
Title
Contract Service Administrator
Phone
(402) 738-3175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

2602 J St
Omaha, NE 68107-1643

Mailing address

2602 J St
Omaha, NE 68107-1643
Phone (402) 734-5275

Other identifiers 2

IdentifierTypeStateIssuer
1155OtherNELICENSED MEDICAL NUTRITION THERAPIST
86004356OtherNECOMMISSION ON DIETETIC REGISTRATION

National Provider Directory

National Provider Directory
Tax ID family
Ponca Tribe of Nebraska9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1740681832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 J ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071643",
            "telephone_number": "402-734-5275",
            "fax_number": "402-734-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 J ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071643",
            "telephone_number": "402-734-5275",
            "fax_number": "402-734-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCA TRIBE OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "RIEB",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACT SERVICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-738-3175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MEDICAL NUTRITION THERAPIST",
            "identifier": "1155",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86004356",
            "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 Sep 9, 2014; 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.