OMAHA INTEGRATIVE MEDICINE, LLC
NPI 1194384750
Nurse Practitioner in Omaha, NE

NPI Status: Active since June 07, 2019

Contact Information

2126 N 117TH AVE
OMAHA, NE
ZIP 68164
Phone: (402) 934-1617
Fax: (402) 934-5228

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 28D2112623
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-02-2026

About OMAHA INTEGRATIVE MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Omaha Integrative Medicine, Llc, a provider established in Omaha, Nebraska operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1194384750 assigned on June 2019. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Omaha Integrative Medicine, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Julie Luzarraga Msw (Owner)

NPI
1194384750
Provider Name
OMAHA INTEGRATIVE MEDICINE, LLC
Entity Type
Organization
Location Address
2126 N 117TH AVE OMAHA, NE 68164
Location Phone
(402) 934-1617
Location Fax
(402) 934-5228
Mailing Address
2126 N 117TH AVE OMAHA, NE 68164
Mailing Phone
(402) 934-1617
Mailing Fax
(402) 934-5228
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2019
Last Update Date
06-07-2019
Code Navigator

A nurse practitioner (NP) like Omaha Integrative Medicine, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JULIE LUZARRAGA MSW

Authorized Official Title
OWNER
Authorized Official Phone
(402) 934-1617

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D2112623
Facility Type
Practitioner Other
Certificate Effective Date
May 03, 2024
Certificate Expiration Date
May 02, 2026
Laboratory Director
MS. ALLISON M. MCKAMY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Omaha Integrative Medicine, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194384750, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 6 + 8 + 8 + 7 + 1 + 0 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194384750.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Psychologist (Counseling)
2126 N 117TH AVE
OMAHA, NE 68164
Psychologist
2126 N 117TH AVE
OMAHA, NE 68164
Marriage & Family Therapist
2126 N 117TH AVE
OMAHA, NE 68164
Marriage & Family Therapist
2126 N 117TH AVE
OMAHA, NE 68164
Massage Therapist
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker (Clinical)
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Nurse Practitioner (Psychiatric/Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Occupational Therapist
2126 N 117TH AVE
OMAHA, NE 68164
Clinic/Center (Mental Health (Including Community Mental Health Center))
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker (Clinical)
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker (Clinical)
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker (Clinical)
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Nurse Practitioner (Psychiatric/Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194384750, enumerated as an "organization" on June 07, 2019.

The provider is located at 2126 N 117TH AVE OMAHA, NE 68164 and the phone number is (402) 934-1617.

Nurse Practitioner with taxonomy code 363L00000X.