Organization Active NPI

Breastfeeding Support & Supplies of Omaha

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1861660011
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
29841 Issued in NE
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

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Ms. Diane Annette Erdmann, RNNPI 1689874406
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025817000MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.