Active NPI
Jaclyn McDonald
- Technician
- Omaha, NE
National Provider Identifier
1992513188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 4444 Marinda St
Omaha, NE 68105-8500 - Phone
- (531) 299-1760
- NPI assigned
- Dec 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | NE | Primary | |
| Nurse's Aide | 376K00000X | 103195 | NE |
Addresses
Primary practice location
4444 Marinda St
Omaha, NE 68105-8500
Mailing address
4444 Marinda St
Omaha, NE 68105-8500
Phone (531) 299-1760
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 |
|---|---|---|---|
| 103195 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1992513188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 MARINDA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681058500",
"telephone_number": "531-299-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 MARINDA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681058500",
"telephone_number": "531-299-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "NE",
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "103195",
"primary": false
}
],
"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 Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.