Active NPI
Breastfeeding Support & Supplies of Omaha
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
National Provider Identifier
1861660011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 29841
- Legal business name
- BREASTFEEDING SUPPORT & SUPPLIES OF OMAHA
- Practice address
- 6017 S 167TH Cir
Omaha, NE 68135-2393 - Phone
- (402) 707-1696
- Fax
- (402) 932-8581
- NPI assigned
- Feb 11, 2008
- 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
- Ms. Diane Annette Erdmann, RN
- Title
- Certified Lactation Consultant
- Phone
- (402) 707-1696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 29841 | NE | Primary |
Addresses
Primary practice location
6017 S 167TH Cir
Omaha, NE 68135-2393
Mailing address
6017 S 167TH Cir
Omaha, NE 68135-2393
Phone (402) 707-1696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025817000 | Medicaid | NE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Registered Nurse)
- Omaha, NE
- NPI 1689874406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1861660011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6017 S 167TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681352393",
"telephone_number": "402-707-1696",
"fax_number": "402-932-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6017 S 167TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681352393",
"telephone_number": "402-707-1696",
"fax_number": "402-932-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREASTFEEDING SUPPORT & SUPPLIES OF OMAHA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2012-03-19",
"status": "A",
"authorized_official_last_name": "ERDMANN",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "CERTIFIED LACTATION CONSULTANT",
"authorized_official_telephone_number": "402-707-1696",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": "29841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025817000",
"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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.