Organization Active NPI

Hope Healthcare PC

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1780119396
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOPE HEALTHCARE PC
Practice address
3100 O St Ste 7
Lincoln, NE 68510-1532
Phone
(402) 805-4540
Fax
(402) 261-5048
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Kim Waters, APRN-FNP
Title
Owner
Phone
(402) 805-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3100 O St Ste 7
Lincoln, NE 68510-1532

Mailing address

3100 O St Ste 7
Lincoln, NE 68510-1532
Phone (402) 805-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107001413 NE Part B Supplier - Clinic/Group Practice 8820354988 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

3100 O St
Ste 7
Lincoln, NE 68510
Phone (402) 261-5048

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1780119396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 O ST STE 7",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101532",
            "telephone_number": "402-805-4540",
            "fax_number": "402-261-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 O ST STE 7",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101532",
            "telephone_number": "402-805-4540",
            "fax_number": "402-261-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-805-4540",
        "authorized_official_credential": "APRN-FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.