Individual provider Active NPI

Nicole Metzger, RN

  • School Registered Nurse
  • La Vista, NE
National Provider Identifier
1982108197
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
66815 Issued in NE
Practice address
7900 Edgewood Blvd
La Vista, NE 68128-2718
Phone
(402) 898-0436
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 66815 NE Primary

Addresses

Primary practice location

7900 Edgewood Blvd
La Vista, NE 68128-2718

Mailing address

7900 Edgewood Blvd
La Vista, NE 68128-2718
Phone (402) 898-0436

Other practice location 1

9920 Brentwood Dr
LA Vista, NE 68128-4240
Phone (402) 898-0425

Other practice location 2

7600 S 72nd St
LA Vista, NE 68128-2658
Phone (402) 898-0455

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
66815NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1982108197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 EDGEWOOD BLVD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282718",
            "telephone_number": "402-898-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 EDGEWOOD BLVD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282718",
            "telephone_number": "402-898-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9920 Brentwood Dr",
            "address_purpose": "LOCATION",
            "city": "LA Vista",
            "state": "NE",
            "postal_code": "681284240",
            "country_code": "US",
            "telephone_number": "402-898-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 S 72nd St",
            "address_purpose": "LOCATION",
            "city": "LA Vista",
            "state": "NE",
            "postal_code": "681282658",
            "country_code": "US",
            "telephone_number": "402-898-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "66815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.