Lesa Dianne Gideon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

52469 Issued in NE

Practice address

190 I St
Burwell, NE 68823-4101

Phone

(308) 346-4150

Fax

(308) 346-5430

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Burwell Public Schools District 100

  • Local Education Agency (LEA)
  • Burwell, NE
  • NPI 1952038499
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1891276366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 I ST",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688234101",
            "telephone_number": "308-346-4150",
            "fax_number": "308-346-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 I ST",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688234101",
            "telephone_number": "308-346-4150",
            "fax_number": "308-346-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDEON",
        "first_name": "LESA",
        "middle_name": "DIANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "52469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Chelewski, DPT
• Community Memorial Hospital, Inc.
• Marie Ernesti, DC
• Valerie Galvan
• Timothy Paul Garner, DDS
• Sara Gideon, DH
• Hugh Ralph Holmquist, MD
• Randi Jensen
• Steven Dean Johnson
• Linda M. Kovarik, P.A.

• All providers in Burwell, NE
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.