Active NPI
Sundee Lynn Hill, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1750363073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1826
- Practice address
- 4110 S 144TH St
Omaha, NE 68137-1013 - Phone
- (402) 861-6683
- Fax
- (402) 861-6689
- NPI assigned
- Nov 14, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1826 | NE | Primary |
Addresses
Primary practice location
4110 S 144TH St
Omaha, NE 68137-1013
Mailing address
4110 S 144TH St
Omaha, NE 68137-1013
Phone (402) 861-6683
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09154 | Other | NE | BLUE CROSS BLUE SHIELD |
| 0586388 | Medicaid | IA |
Other names 1
- Sundee Lynn Heggem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1750363073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371013",
"telephone_number": "402-861-6683",
"fax_number": "402-861-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371013",
"telephone_number": "402-861-6683",
"fax_number": "402-861-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SUNDEE",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09154",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0586388",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUNDEE",
"last_name": "HEGGEM",
"middle_name": "LYNN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}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 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.