1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Special Hospital
  6. NPI Profile

NEBRASKA SPINE HOSPITAL, LLC
NPI 1215404165
Special Hospital in Omaha, NE

Active since October 30, 2018CLIA 28D2006985 · Waiver
6901 N 72ND ST STE 2300, OMAHA, NE 68122(405) 572-3000(402) 572-2193 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nebraska Spine Hospital, Llc NPPES

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

NEBRASKA SPINE HOSPITAL, LLC (NPI 1215404165) is a healthcare organization registered as a special hospital in Omaha, Nebraska and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Carolyn Ridenour, Director, Business Operations, as its authorized official.

NPPES Registry Identity

NPI1215404165
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameNEBRASKA SPINE HOSPITAL, LLC
Location Address6901 N 72ND ST STE 2300Omaha, NE 68122-1709
Mailing Address6901 N 72nd St Ste 2300Omaha, NE 68122-1709 · (405) 572-3000
Phone(405) 572-3000
Fax(402) 572-2193
Organization SubpartNo
Authorized OfficialCarolyn RidenourDirector, Business Operations · (402) 572-3689
Enumeration DateOctober 30, 2018
✔ NPI 1215404165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
6901 N 72ND ST STE 2300, Omaha, NE 68122
Open in Google Maps ↗

Other Identifiers 1

Medicaid10025971600NE

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 28D2006985

Nebraska Spine Hospital, LLC · Omaha, NE
Active · expires May 4, 2028
CLIA Number28D2006985
Laboratory TypeHospital
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDr. Timothy Burd
Laboratory Phone(402) 572-3000
Laboratory LocationNebraska Spine Hospital, LLC6901 North 72nd Street, Suite 20300, Omaha, NE 68122
CLIA data matches this NPI record on: Name
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 Nebraska Spine Hospital, LLC's NPI number?

The NPI number for Nebraska Spine Hospital, LLC is 1215404165. It was assigned to this organization in the NPPES registry on October 30, 2018.

Where is Nebraska Spine Hospital, LLC located?

Nebraska Spine Hospital, LLC is located at 6901 N 72nd St Ste 2300, Omaha, NE 68122. The listed phone number is (405) 572-3000.

What is Nebraska Spine Hospital, LLC's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does Nebraska Spine Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2006985) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nebraska Spine Hospital, LLC was last updated on October 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.