Michael Tiesi

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

9425 Issued in NE

Practice address

12809 W Dodge Rd
Omaha, NE 68154-2155

Phone

(402) 717-2614

NPI assigned

Nov 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1790492452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542155",
            "telephone_number": "402-717-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIESI",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NE",
            "license": "9425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.tiesi@commonspirit.org",
            "affiliation": "N",
            "address_1": "12809 W Dodge Rd",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681542155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Worokiya Tiendrebeogo
• Brent Jonathan Tierney, M.D.
• Dennis P Tierney, M.D.
• John Francis Tierney IV, MD
• Michelle Lynne Tierney
• Katherine Tietjen
• Sharonn Ann Tietsort
• Artemis Tietz
• Tiffany D. Koenen, LCSW, P.C.
• Tiffany M True LLC

• Ambulatory Care Pharmacist in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Care Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.