Individual provider Active NPI

Calandra Cooper, LPN, CPHT-NE

  • Licensed Practical Nurse
  • Omaha, NE
National Provider Identifier
1821676107
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
28729 Issued in NE
Practice address
1941 S 42ND St Ste 518
Omaha, NE 68105-2945
Phone
(402) 415-9223
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 11488 NE
Community Health Worker 172V00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 28729 NE Primary
Health Educator 174H00000X

Addresses

Primary practice location

1941 S 42ND St Ste 518
Omaha, NE 68105-2945

Mailing address

1941 S 42ND St Ste 518
Omaha, NE 68105-2945
Phone (402) 359-0788

Other identifiers 1

IdentifierTypeStateIssuer
10030521000MedicaidNE

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
28729NEMDLicensed Practical Nurse
11488NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Health Care Support Licensed Practical Nurse CurrentSince Apr 20, 2025 Accepting new patients

Locations

1941 S 42nd St
Ste 518
Omaha, NE 68105
Phone (402) 346-1555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1821676107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 518",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-359-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 518",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-415-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CALANDRA",
        "name_prefix": "Mrs.",
        "credential": "LPN, CPHT-NE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NE",
            "license": "11488",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "28729",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10030521000",
            "state": "NE"
        }
    ],
    "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 Aug 24, 2026; 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.