Active NPI
Bespoke Psychiatric, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1790565232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BESPOKE PSYCHIATRIC, LLC
- Practice address
- 6016 S 87TH St Ste 120
Lincoln, NE 68526-9364 - Phone
- (531) 242-6965
- Fax
- (531) 242-5285
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paige E Buresh
- Title
- Co-Owner
- Phone
- (531) 242-6965
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6016 S 87TH St Ste 120
Lincoln, NE 68526-9364
Mailing address
6016 S 87TH St Ste 120
Lincoln, NE 68526-9364
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
- NPI 1124750559
-
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
- NPI 1891252219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1790565232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6016 S 87TH ST STE 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6016 S 87TH ST STE 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269364",
"telephone_number": "531-242-6965",
"fax_number": "531-242-5285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BESPOKE PSYCHIATRIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "BURESH",
"authorized_official_first_name": "PAIGE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "531-242-6965"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 Dec 10, 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.