Individual provider Active NPI

Pamela Prazan, LMHP

  • Clinical Social Worker
  • Bellevue, NE
National Provider Identifier
1932238839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1565 Issued in NE
Practice address
2211 Peoples Rd
Suite 1
Bellevue, NE 68005-4670
Phone
(402) 682-9694
Fax
(402) 682-9678
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1565 NE Primary

Addresses

Primary practice location

2211 Peoples Rd
Suite 1
Bellevue, NE 68005-4670

Mailing address

PO Box 34367
Omaha, NE 68134-0367
Phone (402) 682-9694

Other identifiers 1

IdentifierTypeStateIssuer
84866OtherNEBLUE CROSS BLUE SHEILD

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932238839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34367",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340367",
            "telephone_number": "402-682-9694",
            "fax_number": "402-682-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 PEOPLES RD",
            "address_2": "SUITE 1",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054670",
            "telephone_number": "402-682-9694",
            "fax_number": "402-682-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAZAN",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "84866",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.