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NALISSA LATANE COOPERRIDER LPN
NPI 1356156863
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since February 11, 2025
5011 N 118TH ST, OMAHA, NE 68164(402) 215-4149 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nalissa Latane Cooperrider Lpn NPPES

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

NALISSA LATANE COOPERRIDER LPN (NPI 1356156863) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1356156863
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameNALISSA LATANE COOPERRIDERCredential: LPN
Location Address5011 N 118TH STOmaha, NE 68164-2021
Mailing Address5011 N 118th StOmaha, NE 68164 · (402) 215-4149
Phone(402) 215-4149
Sole ProprietorYes
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1356156863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5011 N 118TH ST, Omaha, NE 68164
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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 Nalissa Cooperrider's NPI number?

The NPI number for Nalissa Cooperrider is 1356156863. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Nalissa Cooperrider located?

Nalissa Cooperrider practices at 5011 N 118th St, Omaha, NE 68164. The listed phone number is (402) 215-4149.

What is Nalissa Cooperrider's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Nalissa Cooperrider was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.