Individual provider Active NPI

Melissa A. Dahir, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1982642765
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110730 Issued in NE
Practice address
119 N 51St St Ste 200
Omaha, NE 68132-2867
Phone
(402) 932-8020
Fax
(402) 905-3042
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110730 NE Primary

Addresses

Primary practice location

119 N 51St St Ste 200
Omaha, NE 68132-2867

Mailing address

119 N 51St St Ste 200
Omaha, NE 68132-2867
Phone (402) 932-8020

Other identifiers 1

IdentifierTypeStateIssuer
47070734613MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000344 NE Practitioner - Nurse Practitioner 7517960511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha OBGYN Associates PC CurrentSince Dec 1, 2013 Accepting new patients

Locations

4239 Farnam St
Ste 734
Omaha, NE 68131
Phone (402) 552-2700

119 N 51st St
Ste 200
Omaha, NE 68132
Phone (402) 552-2700

Interoperability endpoints

  • Direct secure messaging: melissa.dahir@854054183632900.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1982642765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N 51ST ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322867",
            "telephone_number": "402-932-8020",
            "fax_number": "402-905-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 51ST ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322867",
            "telephone_number": "402-932-8020",
            "fax_number": "402-905-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHIR",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070734613",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.