Andrea Midder, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

75656 Issued in NE

Practice address

1844 N 18TH St
Omaha, NE 68110-2421

Phone

(402) 933-6310

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1740715721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 N 18TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102421",
            "telephone_number": "402-933-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 N 18TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102421",
            "telephone_number": "402-933-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDER",
        "first_name": "ANDREA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "75656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacob Middleton
• Jacob C Middleton, MD
• Leondra Marie Middleton
• Samantha Middleton

• Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.