NPIMap

Organization Active NPI

The Express Clinic, LLC

  • Clinic/Center
  • Lincoln, NE
National Provider Identifier
1831252121
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
219844341 Issued in NE
Legal business name
THE EXPRESS CLINIC, LLC
Practice address
2525 Pine Lake Road Practice Location 68512
PO 23048 68542
Lincoln, NE 68542
Phone
(402) 420-2094
Fax
(402) 420-2095
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Mrs. Bette Grace Tucker, NP
Title
Operations Manager
Phone
(402) 423-4739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 219844341 NE Primary

Addresses

Primary practice location

2525 Pine Lake Road Practice Location 68512
PO 23048 68542
Lincoln, NE 68542

Mailing address

PO 23048
Lincoln, NE 68542
Phone (402) 420-2094

Other names 1

  • Express Care Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3740 N 27th St
Lincoln, NE 68521

3740 N 27th St
Ste 1
Lincoln, NE 68521
Phone (402) 423-0396

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1831252121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 23048",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68542",
            "telephone_number": "402-420-2094",
            "fax_number": "402-420-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PINE LAKE ROAD PRACTICE LOCATION 68512",
            "address_2": "PO 23048 68542",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68542",
            "telephone_number": "402-420-2094",
            "fax_number": "402-420-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXPRESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "402-423-4739",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "219844341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2009; 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.