Individual provider Active NPI

Vicki D Thomas Carlentine, DNP, FNP-BC, APRN

  • Occupational Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1902311772
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
2023 Issued in NE
Practice address
9905 Sapp Brothers Dr
Omaha, NE 68138-3951
Phone
(402) 690-0475
NPI assigned
Dec 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023 NE
Occupational Health Nurse Practitioner 363LX0106X 2023 NE Primary

Addresses

Primary practice location

9905 Sapp Brothers Dr
Omaha, NE 68138-3951

Mailing address

7003 N 89TH Ave
Omaha, NE 68122-5224
Phone (402) 690-0475

Other practice location 1

5757 Woodway Dr Ste 215
Houston, TX 77057-1533
Phone (832) 426-7077

Other identifiers 1

IdentifierTypeStateIssuer
2023OtherNEAPRN STATE LICENSE

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
2023NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eureco Consultants LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902311772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 N 89TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681225224",
            "telephone_number": "402-690-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 SAPP BROTHERS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681383951",
            "telephone_number": "402-690-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 Woodway Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770571533",
            "country_code": "US",
            "telephone_number": "832-426-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS CARLENTINE",
        "first_name": "VICKI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "2023",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NE",
            "license": "2023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN STATE LICENSE",
            "identifier": "2023",
            "state": "NE"
        }
    ],
    "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 Mar 17, 2018; 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.