Active NPI
Atlantis Johnson
- Home Health Aide
- La Vista, NE
National Provider Identifier
1902603707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 8015 S 66TH Ave
La Vista, NE 68128-4370 - Phone
- (402) 444-6500
- NPI assigned
- Feb 27, 2025
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
8015 S 66TH Ave
La Vista, NE 68128-4370
Mailing address
1876 S 74TH St Apt 307
Omaha, NE 68124-1741
Other practice location 1
4715 S 132nd St
Omaha, NE 68137-1899
Phone (402) 444-6500
Other practice location 2
8015 S 66th Ave
LA Vista, NE 68128-4370
Phone (402) 444-6500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1902603707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1876 S 74TH ST APT 307",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 S 66TH AVE",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681284370",
"telephone_number": "402-444-6500"
}
],
"practiceLocations": [
{
"address_1": "4715 S 132nd St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681371899",
"country_code": "US",
"telephone_number": "402-444-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8015 S 66th Ave",
"address_purpose": "LOCATION",
"city": "LA Vista",
"state": "NE",
"postal_code": "681284370",
"country_code": "US",
"telephone_number": "402-444-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ATLANTIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.