Individual provider Active NPI

Hannah Jo Wegner, ED.S., NCSP

  • School Psychologist
  • Central City, NE
National Provider Identifier
1922574151
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2014011418 Issued in NE
Practice address
1711 15TH Ave
Central City, NE 68826-1807
Phone
(308) 946-3055
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2014011418 NE Primary

Addresses

Primary practice location

1711 15TH Ave
Central City, NE 68826-1807

Mailing address

1711 15TH Ave
Central City, NE 68826-1807
Phone (308) 946-3055

Other identifiers 1

IdentifierTypeStateIssuer
2014011418OtherNENEBRASKA DEPARTMENT OF EDUCATION

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

LicenseStateTypeSpecialty
2014011418NEMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1922574151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 15TH AVE",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688261807",
            "telephone_number": "308-946-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 15TH AVE",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688261807",
            "telephone_number": "308-946-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "HANNAH",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NE",
            "license": "2014011418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA DEPARTMENT OF EDUCATION",
            "identifier": "2014011418",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.