NPIMap

Organization Active NPI

Heartland Family First Medical Clinic, LLC

  • Pediatrics Physician
  • Omaha, NE
National Provider Identifier
1790140556
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HEARTLAND FAMILY FIRST MEDICAL CLINIC, LLC
Practice address
16850 Frances St Ste 102
Omaha, NE 68130-2640
Phone
(402) 884-6400
Fax
(877) 478-4366
NPI assigned
Dec 22, 2015
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Lauren Ruby
Title
Office Manager
Phone
(402) 884-6400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Pediatrics Physician 208000000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

16850 Frances St Ste 102
Omaha, NE 68130-2640

Mailing address

16850 Frances St Ste 102
Omaha, NE 68130-2640
Phone (402) 884-6400

National Provider Directory

National Provider Directory

Locations

16850 Frances St
Ste 102
Omaha, NE 68130
Phone (402) 884-6400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1790140556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16850 FRANCES ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302640",
            "telephone_number": "402-884-6400",
            "fax_number": "877-478-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 FRANCES ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302640",
            "telephone_number": "402-884-6400",
            "fax_number": "877-478-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY FIRST MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-884-6400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 3, 2024; 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.