Ryan O'Connell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657

Phone

(402) 500-6870

Fax

(402) 500-6871

NPI assigned

Jul 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1871946186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E BENJAMIN AVE APT 104",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687016883",
            "telephone_number": "402-841-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 E Benjamin Ave Apt 104",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687016883",
            "country_code": "US",
            "telephone_number": "402-841-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NE",
            "license": "H12928193",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Case Manager/Care Coordinator in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.