Individual provider Active NPI

Rabia Moukrad, APRN

  • Primary Care Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1962048314
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
113006 Issued in NE
Practice address
4951 Center St Ste 200
Omaha, NE 68106-3252
Phone
(402) 558-2500
Fax
(402) 558-5522
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 113006 NE Primary

Addresses

Primary practice location

4951 Center St Ste 200
Omaha, NE 68106-3252

Mailing address

4951 Center St Ste 200
Omaha, NE 68106-3252
Phone (402) 558-2500

Other practice location 1

4951 Center St Ste 100
Omaha, NE 68106-3252
Phone (402) 556-9220

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Omaha Health Information Exchange (HIE)

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoody & Lanspa Family Practice, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1962048314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-558-2500",
            "fax_number": "402-558-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-558-2500",
            "fax_number": "402-558-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Center St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681063252",
            "country_code": "US",
            "telephone_number": "402-556-9220",
            "fax_number": "402-558-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUKRAD",
        "first_name": "RABIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "113006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Omaha",
            "affiliation": "N",
            "endpointDescription": "FREEDOM MEDICAL SYSTEMS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Omaha",
            "address_1": "4951 Center St Ste 200",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681063252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 20, 2019; 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.