Active NPI
Husker Occupational Medicine
- Family Nurse Practitioner
- Council Bluffs, IA
National Provider Identifier
1831397751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-117058
- Legal business name
- HUSKER OCCUPATIONAL MEDICINE
- Practice address
- 500 W Broadway
Suite 201
Council Bluffs, IA 51503-0842 - Phone
- (712) 352-0653
- Fax
- (712) 352-0656
- NPI assigned
- Jul 3, 2007
- 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
- Mrs. Tami Riha
- Title
- Billing Manager
- Phone
- (712) 352-0653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-117058 | IA | Primary |
Addresses
Primary practice location
500 W Broadway
Suite 201
Council Bluffs, IA 51503-0842
Mailing address
500 W Broadway
Suite 201
Council Bluffs, IA 51503-0842
Phone (712) 352-0653
National Provider Directory
National Provider DirectoryLocations
500 W Broadway
Ste 201
Council Bluffs, IA 51503
Phone (712) 352-0653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831397751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY",
"address_2": "SUITE 201",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030842",
"telephone_number": "712-352-0653",
"fax_number": "712-352-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY",
"address_2": "SUITE 201",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030842",
"telephone_number": "712-352-0653",
"fax_number": "712-352-0656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUSKER OCCUPATIONAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIHA",
"authorized_official_first_name": "TAMI",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "712-352-0653",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-117058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.