Individual provider Active NPI

Heather Lynn Magdanz, RBT

  • Behavior Analyst
  • Omaha, NE
National Provider Identifier
1891400834
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-23-252772 Issued in NE
Practice address
5321 S 138TH St
Omaha, NE 68137-2913
Phone
(402) 895-4000
Fax
(402) 895-1607
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-23-252772 NE Primary

Addresses

Primary practice location

5321 S 138TH St
Omaha, NE 68137-2913

Mailing address

10840 S 204TH Avenue Cir Apt 109
Gretna, NE 68028-4069
Phone (402) 201-6375

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmagdanz@crccomaha.org Direct Connected Roots Care Center

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

State licenses

LicenseStateTypeSpecialty
RBT-23-252772NEMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1891400834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 S 204TH AVENUE CIR APT 109",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284069",
            "telephone_number": "402-201-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 S 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372913",
            "telephone_number": "402-895-4000",
            "fax_number": "402-895-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDANZ",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "RBT-23-252772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmagdanz@crccomaha.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Connected Roots Care Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5321 S 138th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681372913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 13, 2023; 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.