NPIMap

Organization Active NPI

Allergy, Asthma & Immunology Associates, P.C.

  • Allergy & Immunology Physician
  • Lincoln, NE
National Provider Identifier
1831151232
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES, P.C.
Practice address
600 N Cotner Blvd
Suite 208
Lincoln, NE 68505-2343
Phone
(402) 464-5969
Fax
(402) 464-3657
NPI assigned
Apr 3, 2006
Reactivated
Oct 9, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Ms. Ashley Beethe
Title
Administrative Coordinator
Phone
(402) 464-5969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

600 N Cotner Blvd
Suite 208
Lincoln, NE 68505-2343

Mailing address

600 N Cotner Blvd
Lincoln, NE 68505-2343
Phone (402) 464-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000953 NE Part B Supplier - Clinic/Group Practice 4385610013 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: York, NE; Valentine, NE; Columbus, NE; Papillion, NE; Omaha, NE; North Platte, NE; Nebraska City, NE; Lincoln, NE…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0940775Allergy Asthma and Immunology Assoc PC600 N Cotner Blvd Suite 208, Lincoln, NE 68505Provider-performed microscopyFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

600 N Cotner Blvd
Lincoln, NE 68505
Phone (402) 466-7030

600 N Cotner Blvd
Ste 208
Lincoln, NE 68505

2808 S 80th Ave
Ste 210
Omaha, NE 68124

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1831151232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "address_2": "SUITE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "deactivation_date": "2022-09-09",
        "reactivation_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "BEETHE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "402-464-5969",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.