Individual provider Active NPI

Dorie Lynn Meadows, AMT,HHA,MA

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1952101339
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3039672 Issued in NE
Practice address
604 S 22ND St Apt 502
Omaha, NE 68102-3028
Phone
(402) 487-5170
NPI assigned
Mar 15, 2025
Last updated
Mar 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3039672 TN
Physician Assistant 363A00000X 3039672 NE Primary

Addresses

Primary practice location

604 S 22ND St Apt 502
Omaha, NE 68102-3028

Mailing address

604 S 22ND St Apt 502
Omaha, NE 68102-3028
Phone (402) 487-5170

Other identifiers 2

IdentifierTypeStateIssuer
3039672OtherTNAMT
3039672OtherNEAMT

Other names 1

  • Dorie Lynn Markham Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3039672NEMDPhysician Assistant
3039672TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1952101339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 22ND ST APT 502",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023028",
            "telephone_number": "402-487-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 22ND ST APT 502",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023028",
            "telephone_number": "402-487-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "DORIE",
        "middle_name": "LYNN",
        "credential": "AMT,HHA,MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3039672",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3039672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMT",
            "identifier": "3039672",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMT",
            "identifier": "3039672",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIE",
            "last_name": "MARKHAM",
            "middle_name": "LYNN",
            "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 Mar 15, 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.

Verify at the official NPI Registry.