NPI |
1740622372 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Last Name Legal Name |
ORTIZ |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
ASHLEY |
The first name of the provider, if the provider
is an individual. |
Provider Middle Name |
M |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Credential Text |
APRN |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Other Last Name |
GRIFFIN |
The first name of the provider, if the provider
is an individual. |
Provider Other First Name |
ASHLEY |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Other Middle Name |
M |
The city name in the location address of the provider being identified. |
Provider Other Credential Text |
APRN |
The State code in the location of the provider
being identified. |
Provider Other Last Name Type Code |
1 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider First Line Business Practice Location Address |
4350 DEWEY AVENUE |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address City Name |
OMAHA |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
NE |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider Business Practice Location Address Postal Code |
68105 |
The date that a record was last updated or changed. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The code designating the provider’s gender if the provider is a person. |
Provider Business Practice Location Address Telephone Number |
4025595049 |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Provider Enumeration Date |
7/24/2013 |
|
Last Update Date |
6/9/2016 |
|
Provider Gender Code |
F |
|
Healthcare Provider Taxonomy Code 1 |
363LA2100X |
|
Provider License Number 1 |
111554 |
|
Provider License Number State Code 1 |
NE |
|
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
Y |
|