Active NPI
Dorothy Heffernan, RN
- Registered Nurse
- Omaha, NE
National Provider Identifier
1780084376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 105466
- Practice address
- 3300 N 60TH St
Omaha, NE 68104-3402 - Phone
- (402) 829-9267
- NPI assigned
- Sep 2, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 105466 | IA | Primary |
Addresses
Primary practice location
3300 N 60TH St
Omaha, NE 68104-3402
Mailing address
3300 N 60TH St
Omaha, NE 68104-3402
Phone (402) 829-9267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47037661200 | Medicaid | NE | |
| 10025225100 | Medicaid | NE |
Other names 1
- Dorothy Alice Dostal
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105466 | IA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1780084376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N 60TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-829-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N 60TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-829-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFERNAN",
"first_name": "DOROTHY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "105466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037661200",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025225100",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "DOSTAL",
"middle_name": "ALICE",
"credential": "RN",
"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 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.