Organization Active NPI

Complete Rural Medicine

  • Family Medicine Physician
  • Friend, NE
National Provider Identifier
1740748920
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE RURAL MEDICINE
Practice address
515 2ND St
Friend, NE 68359-1305
Phone
(402) 802-5711
NPI assigned
Mar 7, 2019
Last updated
May 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Mrs. Ana Rosa Taylor, NPNPI 1932628070
Title
Aprn, FNP-C
Phone
(402) 802-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Family Nurse Practitioner 363LF0000X NU
General Practice Registered Nurse 163WG0000X NU
Family Medicine Physician 207Q00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

515 2ND St
Friend, NE 68359-1305

Mailing address

515 2ND St
Friend, NE 68359-1305
Phone (308) 646-2471

Other identifiers 2

IdentifierTypeStateIssuer
112291OtherNESTATE
112294OtherNESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190524000578 NE Part B Supplier - Clinic/Group Practice 7214270784 Receives reassigned benefits from 5 practitioners
Practice locations: Friend, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2165138Complete Rural Medicine, LLC515 2ND Street, Friend, NE 68359Certificate of waiverApr 21, 2027

National Provider Directory

National Provider Directory

Locations

515 2nd St
Friend, NE 68359
Phone (308) 646-2471

Practitioners & affiliated clinicians

Practitioners 6

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": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1740748920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 2ND ST",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591305",
            "telephone_number": "308-646-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 2ND ST",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591305",
            "telephone_number": "402-802-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE RURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "APRN, FNP-C",
        "authorized_official_telephone_number": "402-802-5711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "112291",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "112294",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friend, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.

Verify at the official NPI Registry.