Active NPI
Dawn Petina Daniels, LPN
- Licensed Practical Nurse
- Omaha, NE
National Provider Identifier
1891728077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 19356
- Practice address
- 638 N 109TH PLZ
Omaha, NE 68154-1722 - Phone
- (402) 345-2200
- Fax
- (402) 345-2500
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 19356 | NE | Primary |
Addresses
Primary practice location
638 N 109TH PLZ
Omaha, NE 68154-1722
Mailing address
3804 Road 147
P.O. Box 43
Lodgepole, NE 69149-5054
Phone (308) 483-5489
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19356 | NE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891728077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 ROAD 147",
"address_2": "P.O. BOX 43",
"city": "LODGEPOLE",
"state": "NE",
"postal_code": "691495054",
"telephone_number": "308-483-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 N 109TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541722",
"telephone_number": "402-345-2200",
"fax_number": "402-345-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "DAWN",
"middle_name": "PETINA",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NE",
"license": "19356",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.