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DOMERLIN SODUSTA
NPI 1679978084
Durable Medical Equipment & Medical Supplies in Omaha, NE

Active since October 28, 2014
4905 S 107TH AVE, SUITE 206, OMAHA, NE 68127(402) 968-1643 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Domerlin Sodusta NPPES

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

DOMERLIN SODUSTA (NPI 1679978084) is an individual durable medical equipment & medical supplies provider in Omaha, Nebraska and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1679978084
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameDOMERLIN SODUSTA
Location Address4905 S 107TH AVE, SUITE 206Omaha, NE 68127-1965
Mailing Address4905 S 107th Ave, Suite 206Omaha, NE 68127-1965 · (402) 968-1643
Phone(402) 968-1643
Sole ProprietorYes
Enumeration DateOctober 28, 2014
✔ NPI 1679978084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4905 S 107TH AVE, Omaha, NE 68127
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Other Identifiers 2

Medicare UPIN4684730001NE
Medicaid10024973200NE

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE IRENE DVORAK APRN
Nurse Practitioner (Women's Health)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 243-1526
MRS. JANICE LYNN KOORY OTR/L
Occupational Therapist
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 926-4088
AMBER CECIL
Registered Nurse (Hospice)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 597-2585
DEBORAH SCHUTZ RN
Registered Nurse (Hospice)
4905 S 107TH AVE, STE 205
OMAHA, NE 68127
Douglas County (402) 597-2585
CHARTER HOSPICE OF OMAHA, LLC
Hospice Care, Community Based
4905 S 107TH AVE, SUITE 205
OMAHA, NE 68127
Douglas County (402) 926-4088
ROCHELLE GRADY RN
Registered Nurse (Hospice)
4905 S 107TH AVE, STE 205
OMAHA, NE 68127
Douglas County (402) 597-2585
KEEN MINDS LLC
Nurse Practitioner (Psychiatric/Mental Health)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 819-1823
EMILY JORDAN BLANCHARD DNP-WHNP, MPH
Nurse Practitioner (Women's Health)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 243-1526

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 Domerlin Sodusta's NPI number?

The NPI number for Domerlin Sodusta is 1679978084. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Domerlin Sodusta located?

Domerlin Sodusta practices at 4905 S 107th Ave Suite 206, Omaha, NE 68127. The listed phone number is (402) 968-1643.

What is Domerlin Sodusta's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Domerlin Sodusta was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.