Individual provider Active NPI

Diane Amy Pein, RN CASEMANAGER

  • Registered Nurse
  • Omaha, NE
National Provider Identifier
1871034454
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
087562 Issued in IA
Practice address
900 S 74TH PLZ # 7400
Omaha, NE 68114-4675
Phone
(402) 444-6500
NPI assigned
Mar 15, 2017
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 087562 IA Primary

Addresses

Primary practice location

900 S 74TH PLZ # 7400
Omaha, NE 68114-4675

Mailing address

900 S 74TH PLZ
Suite 200
Omaha, NE 68114-4675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
087562IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nebraska Human Services Agency Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1871034454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 74TH PLZ",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 74TH PLZ # 7400",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144675",
            "telephone_number": "402-444-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIN",
        "first_name": "DIANE",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "RN CASEMANAGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "087562",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2017; 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.