Individual provider Active NPI

Kami Marie Shalhoob, OTR/L

  • Community Health Worker
  • Omaha, NE
National Provider Identifier
1891951240
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
854 Issued in NE
Practice address
1021 S 178TH St Ste 101
Omaha, NE 68118-3574
Phone
(402) 933-3036
Fax
(402) 933-3163
NPI assigned
Aug 5, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 854 NE Primary

Addresses

Primary practice location

1021 S 178TH St Ste 101
Omaha, NE 68118-3574

Mailing address

1021 S 178TH St Ste 101
Omaha, NE 68118-3574
Phone (402) 993-3036

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

State licenses

LicenseStateTypeSpecialty
854NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC PastSince Jul 1, 2009 Accepting new patients
Pacific Springs Physical Therapy, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1891951240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S 178TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183574",
            "telephone_number": "402-993-3036",
            "fax_number": "402-933-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 178TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183574",
            "telephone_number": "402-933-3036",
            "fax_number": "402-933-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALHOOB",
        "first_name": "KAMI",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NE",
            "license": "854",
            "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 Aug 5, 2008; 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.