JTB Medical, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JTB MEDICAL, LLC

Practice address

643 Fallbrook Blvd Ste 105
Lincoln, NE 68521-9142

Phone

(402) 276-5160

NPI assigned

May 22, 2026

Organization subpart

No

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

Authorized official

Name

Jocelyn TierneyNPI 1104432863

Title

Owner

Phone

(402) 276-5160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Tierney

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1104432863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1982534541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 W GARFIELD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224448",
            "telephone_number": "402-276-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 FALLBROOK BLVD STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219142",
            "telephone_number": "402-276-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTB MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-276-5160"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kislev Juarez
• Dakota J Judds
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• Family Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.