Active NPI
Alida Asencio, MD
- Pediatrics Physician
- Winnebago, NE
National Provider Identifier
1891882668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5174
- Practice address
- Hwy 77/75
Winnebago, NE 68067-0767 - Phone
- (402) 878-2231
- Fax
- (402) 878-2237
- NPI assigned
- Oct 5, 2006
- Last updated
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5174 | SD | Primary |
Addresses
Primary practice location
Hwy 77/75
Winnebago, NE 68067-0767
Mailing address
PO Box HH
Hwy 77/75
Winnebago, NE 68067-0767
Phone (402) 878-2231
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5174 | SD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1891882668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX HH",
"address_2": "HWY 77/75",
"city": "WINNEBAGO",
"state": "NE",
"postal_code": "680670767",
"telephone_number": "402-878-2231",
"fax_number": "402-878-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 77/75",
"city": "WINNEBAGO",
"state": "NE",
"postal_code": "680670767",
"telephone_number": "402-878-2231",
"fax_number": "402-878-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASENCIO",
"first_name": "ALIDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SD",
"license": "5174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnebago, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.