Active NPI
Elizabeth Anne Leute
- School Registered Nurse
- Gretna, NE
National Provider Identifier
1962017673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 40144
- Practice address
- 11221 Northridge Dr
Gretna, NE 68028-6935 - Phone
- (402) 332-5578
- Fax
- (402) 408-2539
- NPI assigned
- Sep 10, 2020
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 40144 | NE | Primary |
Addresses
Primary practice location
11221 Northridge Dr
Gretna, NE 68028-6935
Mailing address
11221 Northridge Dr
Gretna, NE 68028-6935
Phone (402) 332-5578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40144 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40144 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1962017673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11221 NORTHRIDGE DR",
"city": "GRETNA",
"state": "NE",
"postal_code": "680286935",
"telephone_number": "402-332-5578",
"fax_number": "402-408-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11221 NORTHRIDGE DR",
"city": "GRETNA",
"state": "NE",
"postal_code": "680286935",
"telephone_number": "402-332-5578",
"fax_number": "402-408-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUTE",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "40144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40144",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.