NPIMap

Organization Active NPI

LMMC Council Bluffs LLLP

  • General Practice Physician
  • Council Bluffs, IA
National Provider Identifier
1861951568
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LMMC COUNCIL BLUFFS LLLP
Practice address
20 Power Dr Ste 5
Council Bluffs, IA 51501-7701
Phone
(402) 614-4969
Fax
(402) 614-4416
NPI assigned
Mar 13, 2019
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Kristie Butts
Title
Credentialing
Phone
(402) 817-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

20 Power Dr Ste 5
Council Bluffs, IA 51501-7701

Mailing address

2255 S 132ND St Ste 100
Omaha, NE 68144-2573
Phone (402) 614-4969

National Provider Directory

National Provider Directory

Locations

20 Power Dr
Council Bluffs, IA 51501

20 Power Dr
Ste 5
Council Bluffs, IA 51501
Phone (402) 614-4969

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1861951568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S 132ND ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442573",
            "telephone_number": "402-614-4969",
            "fax_number": "402-614-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POWER DR STE 5",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017701",
            "telephone_number": "402-614-4969",
            "fax_number": "402-614-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMMC COUNCIL BLUFFS LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "402-817-4810"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Mar 13, 2019; 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.