Active NPI
Jill Marie Anderson
- School Social Worker
- Omaha, NE
National Provider Identifier
1972029338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 1408
- Practice address
- 5606 South 147TH Street
Omaha, NE 68137 - Phone
- (402) 715-8200
- NPI assigned
- Aug 17, 2017
- Last updated
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 Social Worker | 1041S0200X | 1408 | NE | Primary |
Addresses
Primary practice location
5606 South 147TH Street
Omaha, NE 68137
Mailing address
5606 S 147TH St
Omaha, NE 68137-2648
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 |
|---|---|---|---|
| 1408 | NE | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millard Public Schools | Past | Accepting new patients | |
| Millard Public Schools | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Preferred Provider Organization
- Omaha, NE
- NPI 1023745395
-
- Personal Care Attendant
- Omaha, NE
- NPI 1164245619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1972029338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 S 147TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 SOUTH 147TH STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "68137",
"telephone_number": "402-715-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JILL",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "1408",
"primary": true
}
],
"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 Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.