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Mrs. Athena C Fertig

Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine and 1 more

139 S 40th St
Omaha , Nebraska 68131-3003

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner
  • Nurse Practitioner - Family Medicine
  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

139 S 40th St Omaha , Nebraska 68131-3003

First Address

  • Mrs. Athena C Fertig
  • 139 S 40th St
  • Omaha, NE
  • Zip : 68131-3003
  • Phone : (402) 559-7800

Second Address

  • Mrs. Athena C Fertig
  • 139 S 40th St
  • Omaha, NE
  • Zip : 68131-3003
  • Phone : (402) 770-8444

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FAQs


Where did Mrs. Athena C Fertig attend graduate school?

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Where did Mrs. Athena C Fertig do her residency?

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Where did Mrs. Athena C Fertig do her fellowship?

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Is Mrs. Athena C Fertig board certified?

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What type of doctor is Mrs. Athena C Fertig

Nurse Practitioner

In what state does Mrs. Athena C Fertig practice in?

Nebraska

Where is Mrs. Athena C Fertig ’s practice located?

139 S 40th St , Omaha, Nebraska, 68131-3003

What is Mrs. Athena C Fertig ’s gender?

Female

Is Mrs. Athena C Fertig a sole practitioner?

No

Is Mrs. Athena C Fertig accepting new patients?

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What languages does Mrs. Athena C Fertig speak?

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Does Mrs. Athena C Fertig accept insurance?

Yes, Mrs. Athena C Fertig accepts insurance

Does Mrs. Athena C Fertig offers telemedicine?

Mrs. Athena C Fertig has not indicated if she offers telemedicine

What is Mrs. Athena C Fertig ’s professional license number?

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What is Mrs. Athena C Fertig ’s NPI number?

1093028805

Does Mrs. Athena C Fertig have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363L00000X Nurse Practitioner 111149 NE
Y 363L00000X Nurse Practitioner A149479 IA
N 363LF0000X Nurse Practitioner - Family Medicine 111149 NE
N 363LF0000X Nurse Practitioner - Family Medicine A149479 IA
N 363LP2300X Nurse Practitioner - Primary Care 111149 NE

National Provider Identifier

NPI 1093028805
Provider Name Mrs. Athena C Fertig
First Address Omaha, NE 68131-3003
Second Address Omaha, NE 68131-3003
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/07/2010
Last Update Date 14/02/2022

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
10025024300 (05) NE
10025024400 (05) NE
47279 BCBS NE (01) NE
48515 BCBS NE (PLH) (01) NE

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The 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 Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type 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 (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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