JONATHAN KNEDLER NPI 1215388004

NPI Information

  • NPI: 1215388004
  • Provider Name: JONATHAN KNEDLER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7500 MERCY RD
    OMAHA, NE
    ZIP 68124
  • Phone: (855) 524-4001

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NPI Details

Jonathan Knedler is an adult health nurse practitioner in Omaha, NE. Jonathan Knedler NPI is 1215388004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7500 MERCY RD
OMAHA, NE
ZIP 68124-319
Phone: (855) 524-4001
Fax: (402) 398-5589

The NPI 1215388004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 5/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health112035NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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