Organization Active NPI

Husker Occupational Medicine

  • Family Nurse Practitioner
  • Council Bluffs, IA
National Provider Identifier
1831397751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-117058 Issued in IA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.