CODDINGTON MEDICAL FAMILY PRACTICE LLC
NPI 1205264231
Clinic/Center - Primary Care in Lincoln, NE

Active since October 30, 2013CLIA 28D2068060 · Waiver
1336 WEST A STREET, SUITE A, LINCOLN, NE 68522(402) 742-2502 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coddington Medical Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODDINGTON MEDICAL FAMILY PRACTICE LLC (NPI 1205264231) is a healthcare organization registered as a primary care in Lincoln, Nebraska and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Timothy J Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1205264231
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCODDINGTON MEDICAL FAMILY PRACTICE LLC
Location Address1336 WEST A STREET, SUITE ALincoln, NE 68522
Mailing Address7711 W Walin LnLincoln, NE 68532-9200 · (402) 742-2502
Organization SubpartNo
Authorized OfficialTimothy J SullivanPresident · (402) 742-2502
Enumeration DateOctober 30, 2013
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
NPI 1205264231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NE · 17443
1336 WEST A STREET, SUITE A, Lincoln, NE 68522

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2068060

Coddington Medical Family Practice · Lincoln, NE
Active · expires Oct 27, 2027
CLIA Number28D2068060
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorDr. Timothy J. Sullivan
Laboratory Phone(402) 742-2502
Laboratory LocationCoddington Medical Family Practice1336 West A Street, Suite A, Lincoln, NE 68522
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coddington Medical Family Practice LLC's NPI number?

The NPI number for Coddington Medical Family Practice LLC is 1205264231. It was assigned to this organization in the NPPES registry on October 30, 2013.

Where is Coddington Medical Family Practice LLC located?

Coddington Medical Family Practice LLC is located at 1336 West A Street, Suite A, Lincoln, NE 68522. The listed phone number is (402) 742-2502.

What is Coddington Medical Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coddington Medical Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2068060) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coddington Medical Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Coddington Medical Family Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coddington Medical Family Practice LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.