MS. BOBBI LYNN FAGAN PEER SPECIALIST
NPI 1477024206
Peer Specialist in Omaha, NE

Q: What is Bobbi Fagan's NPI number?

The NPI number for Bobbi Fagan is 1477024206. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Q: What is Bobbi Fagan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Bobbi Fagan was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since December 05, 2018

415 SOUTH 25TH AVE, ANNEX BLD, OMAHA, NE 68131(402) 715-4226 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2024, Dec 5, 2018 (2 updates tracked since 2018).

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About Ms. Bobbi Lynn Fagan Peer Specialist NPPES

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

MS. BOBBI LYNN FAGAN PEER SPECIALIST (NPI 1477024206) is an individual peer specialist in Omaha, Nebraska, licensed in Nebraska (CPSS-305) and active in the NPI registry since December 2018. She maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1477024206

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMS. BOBBI LYNN FAGANCredential: PEER SPECIALIST

Location Address415 SOUTH 25TH AVE, ANNEX BLDOmaha, NE 68131

Mailing Address4006 Ida St, Alpha LifeOmaha, NE 68112-0257 · (531) 207-6462 · Fax (402) 999-4786

Phone(402) 715-4226

Sole ProprietorYes

Enumeration DateDecember 5, 2018

Last NPPES UpdateJune 6, 20242 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1477024206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NE · CPSS-305

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedNurse's AideTaxonomy 376K00000X · License 52521 (NE)

415 SOUTH 25TH AVE, Omaha, NE 68131

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Secondary Practice Location 1

Location 14006 Ida St, ALPHA LIFEOmaha, NE 68112-0257 · Phone (531) 207-6462 · Fax (402) 999-4786

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 Bobbi Fagan's NPI number?

The NPI number for Bobbi Fagan is 1477024206. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Bobbi Fagan located?

Bobbi Fagan practices at 415 South 25th Ave Annex Bld, Omaha, NE 68131. The listed phone number is (402) 715-4226.

What is Bobbi Fagan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Bobbi Fagan was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.