Individual provider Active NPI

Lisa M Cole-Mailander, RN

  • Home Health Registered Nurse
  • Omaha, NE
National Provider Identifier
1750672846
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
62026 Issued in NE
Practice address
5738 S 137TH St
Omaha, NE 68137-2965
Phone
(402) 813-4944
Fax
(402) 895-5025
NPI assigned
Apr 25, 2011
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 62026 NE Primary

Addresses

Primary practice location

5738 S 137TH St
Omaha, NE 68137-2965

Mailing address

5738 S 137TH St
Omaha, NE 68137-2965
Phone (402) 813-4944

Other identifiers 3

IdentifierTypeStateIssuer
11997434OtherNEN-FOCUS/PASS
03MedicaidNE
TAX IDOtherNECOVENTRY MEDICAID

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
62026NEMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1750672846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 S 137TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372965",
            "telephone_number": "402-813-4944",
            "fax_number": "402-895-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 S 137TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372965",
            "telephone_number": "402-813-4944",
            "fax_number": "402-895-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-MAILANDER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NE",
            "license": "62026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N-FOCUS/PASS",
            "identifier": "11997434",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY MEDICAID",
            "identifier": "TAX ID",
            "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 Apr 19, 2012; 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.