Individual provider Active NPI

Dawn Elizabeth Teunissen

  • School Registered Nurse
  • Omaha, NE
National Provider Identifier
1780159152
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
54301 Issued in NE
Practice address
310 N 51St St
Omaha, NE 68132-2846
Phone
(402) 554-8424
Fax
(402) 554-0303
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 54301 NE Primary

Addresses

Primary practice location

310 N 51St St
Omaha, NE 68132-2846

Mailing address

310 N 51St St
Omaha, NE 68132-2846
Phone (402) 554-8424

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

LicenseStateTypeSpecialty
54301NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1780159152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 51ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322846",
            "telephone_number": "402-554-8424",
            "fax_number": "402-554-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 51ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322846",
            "telephone_number": "402-554-8424",
            "fax_number": "402-554-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUNISSEN",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "54301",
            "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 Oct 11, 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.

Verify at the official NPI Registry.