Jeffrey A Phelps, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

80127 Issued in NE

Practice address

10813 S 109TH St
Papillion, NE 68046-5534

Phone

(402) 968-0812

NPI assigned

Jul 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maggie Ann'S Skilled Nursing & Respite Care, LLC

  • Home Health Agency
  • Papillion, NE
  • NPI 1215413315
  NPD (past) Authorized official

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1790261899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10813 S 109TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465534",
            "telephone_number": "402-968-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10813 S 109TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465534",
            "telephone_number": "402-968-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "80127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Christine Petersen
• Michelle L Peterson-Jones, M.D.
• Cole A Peterson
• Kristi K Peterson, MD
• Brynn Elizabeth Pew, PTA
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Brandon Piatt, PHARMD
• Ian Micheal Pierce, APRN
• Kristan L Pilakowski, OTD, OTR/L
• Austin Pimentel

• Registered Nurse in Papillion, NE
• Providers in Papillion, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.