Active NPI
Elizabeth Wilson, REGISTERED NURSE SCH
- School Registered Nurse
- Omaha, NE
National Provider Identifier
1750864534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 30400
- Practice address
- 8204 Crown Point Ave
Omaha, NE 68134-1922 - Phone
- (402) 557-3515
- Fax
- (402) 557-3539
- NPI assigned
- Sep 8, 2018
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 30400 | NE | Primary |
Addresses
Primary practice location
8204 Crown Point Ave
Omaha, NE 68134-1922
Mailing address
8204 Crown Point Ave
Omaha, NE 68134-1999
Phone (402) 557-3515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30400 | Medicaid | NE |
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 |
|---|---|---|---|
| 30400 | NE | MD | Pediatric Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536364800000",
"number": "1750864534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 CROWN POINT AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341999",
"telephone_number": "402-557-3515",
"fax_number": "402-557-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 CROWN POINT AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341922",
"telephone_number": "402-557-3515",
"fax_number": "402-557-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ELIZABETH",
"credential": "REGISTERED NURSE SCH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-08",
"last_updated": "2018-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "30400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30400",
"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 Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.