Pivot Concierge Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIVOT CONCIERGE HEALTH, LLC

Practice address

2801 S 88TH St
Omaha, NE 68124-3056

Phone

(402) 885-8125

Fax

(402) 625-0578

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Anthony Buda

Title

Owner

Phone

(402) 350-1024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Total Male Wellness, LLC Former legal business name

Locations

Practitioners 1

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

• Natalie Roberts, APRN NP

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1275152084
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1891251898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S 88TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243056",
            "telephone_number": "402-885-8125",
            "fax_number": "402-625-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S 88TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243056",
            "telephone_number": "402-885-8125",
            "fax_number": "402-625-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8656 F St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681271639",
            "country_code": "US",
            "telephone_number": "402-885-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOT CONCIERGE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "BUDA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-350-1024"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026770100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Male Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Pittock, MSW, LIMHP, LIMSW
• Domonique A Pitts-Manning
• Joseph C Pitts
• Lily Pitts
• Nathan Arnold Pitts, M.D.
• Amanda Marie Pixley
• Soraya Piyanat, PHARMD
• Place of Grace Counseling, LLC
• Judy L Placek, APRN
• Michelle M Placek

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.