Individual provider Active NPI

Nancye D Hasiak, APRN-C

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1952300451
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110292 Issued in NE
Practice address
16909 Lakeside Hills CT
Lakeside Prof Ctr N Ste 200
Omaha, NE 68130-2318
Phone
(402) 571-5323
Fax
(402) 571-2495
NPI assigned
Jul 18, 2005
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32331 NE
Nurse Practitioner 363L00000X 110292 NE Primary
Nurse Practitioner 363L00000X A101261 IA

Addresses

Primary practice location

16909 Lakeside Hills CT
Lakeside Prof Ctr N Ste 200
Omaha, NE 68130-2318

Mailing address

16909 Lakeside Hills CT
Lakeside Prof Ctr N Ste 200
Omaha, NE 68130-2318
Phone (402) 571-5323

Other identifiers 1

IdentifierTypeStateIssuer
47073708113MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32331NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives - a Center for Conscious Healht 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1952300451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT",
            "address_2": "LAKESIDE PROF CTR N STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302318",
            "telephone_number": "402-571-5323",
            "fax_number": "402-571-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT",
            "address_2": "LAKESIDE PROF CTR N STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302318",
            "telephone_number": "402-571-5323",
            "fax_number": "402-571-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASIAK",
        "first_name": "NANCYE",
        "middle_name": "D",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "32331",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110292",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A101261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47073708113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.