Individual provider Active NPI

Michaela Shannon Lord Briardy, OTR/L, LPN

  • Licensed Practical Nurse
  • Omaha, NE
National Provider Identifier
1790677557
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
24778 Issued in NE
Practice address
9239 W Center Rd Ste 100
Omaha, NE 68124-1900
Phone
(402) 399-8888
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 24778 NE Primary
Occupational Therapist 225X00000X 2902 NE

Addresses

Primary practice location

9239 W Center Rd Ste 100
Omaha, NE 68124-1900

Mailing address

4325 Camden Ave
Omaha, NE 68111-1834
Phone (402) 707-9267

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
24778NEMDLicensed Practical Nurse
2902NEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1790677557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 CAMDEN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111834",
            "telephone_number": "402-707-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-399-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIARDY",
        "first_name": "MICHAELA",
        "middle_name": "SHANNON LORD",
        "credential": "OTR/L, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "24778",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2902",
            "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 Jul 16, 2025; 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.