Active NPI
Corey Anthony Veasley
- Nursing Home Administrator
- Omaha, NE
National Provider Identifier
1962390997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- H12270555
- Practice address
- 4127 Maple St
Omaha, NE 68111-3459 - Phone
- (402) 672-0482
- NPI assigned
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | H12270555 | NE | Primary |
| Home Health Aide | 374U00000X | H12270555 | NE |
Addresses
Primary practice location
4127 Maple St
Omaha, NE 68111-3459
Mailing address
4127 Maple St
Omaha, NE 68111-3459
Phone (402) 672-0482
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 |
|---|---|---|---|
| H12270555 | NE | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1962390997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4127 MAPLE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113459",
"telephone_number": "402-672-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4127 MAPLE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113459",
"telephone_number": "402-672-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEASLEY",
"first_name": "COREY",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NE",
"license": "H12270555",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": "H12270555",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 26, 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.