Active NPI
Amanda McGary Tatro
- Counselor
- Omaha, NE
National Provider Identifier
1750833851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11424
- Practice address
- 11929 Elm St Suite 12a
Omaha, NE 68144 - Phone
- (402) 401-4132
- NPI assigned
- Oct 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 082450 | IA | |
| Counselor | 101Y00000X | 11424 | NE | Primary |
Addresses
Primary practice location
11929 Elm St Suite 12a
Omaha, NE 68144
Mailing address
11929 Elm St Suite 12a
Omaha, NE 68144
Phone (402) 401-4132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082450 | IA | MD | Counselor |
| 11424 | NE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1750833851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11929 ELM ST SUITE 12A",
"city": "OMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-401-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11929 ELM ST SUITE 12A",
"city": "OMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-401-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATRO",
"first_name": "AMANDA",
"middle_name": "MCGARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "082450",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "11424",
"primary": true
}
],
"identifiers": [],
"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 Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.