Active NPI
Laurie W Berglund
- Nurse Practitioner
- Omaha, NE
National Provider Identifier
1902274152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 111870
- Practice address
- 110 N 175TH St Ste 1000
Children'S Hospital & Medical Center Urgent Care
Omaha, NE 68118-3581 - Phone
- (402) 955-8300
- Fax
- (402) 955-7310
- NPI assigned
- Sep 4, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 111870 | NE | Primary |
Addresses
Primary practice location
110 N 175TH St Ste 1000
Children'S Hospital & Medical Center Urgent Care
Omaha, NE 68118-3581
Mailing address
8200 Dodge St
Children'S Hospital & Medical Center
Omaha, NE 68114-4113
Phone (402) 955-5400
Other names 1
- Laurie Sue Wilson
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 |
|---|---|---|---|
| 111870 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berglund Better Days LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1972478774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1902274152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 175TH ST STE 1000",
"address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER URGENT CARE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681183581",
"telephone_number": "402-955-8300",
"fax_number": "402-955-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGLUND",
"first_name": "LAURIE",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "111870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "WILSON",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.