Individual provider Active NPI

Fawaz Al-Nazer, PH.D

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1982261350
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4086921 Issued in NE
Practice address
15121 Bedford Ave
Omaha, NE 68116-2497
Phone
(402) 800-0560
Fax
(402) 625-0718
NPI assigned
May 21, 2019
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 4086921 NE
Home Health Aide 374U00000X
Home Health Agency 251E00000X 4086921 NE Primary

Addresses

Primary practice location

15121 Bedford Ave
Omaha, NE 68116-2497

Mailing address

15121 Bedford Ave
Omaha, NE 68116-2497
Phone (402) 800-0560

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4086921NEMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1982261350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162497",
            "telephone_number": "402-800-0560",
            "fax_number": "402-625-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162497",
            "telephone_number": "402-800-0560",
            "fax_number": "402-625-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-NAZER",
        "first_name": "FAWAZ",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NE",
            "license": "4086921",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "4086921",
            "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 May 23, 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.