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LISA ANN BLAGDON
NPI 1770450223
Licensed Practical Nurse in Omaha, NE

Active since October 20, 2025
4101 WOOLWORTH AVE, OMAHA, NE 68105(402) 930-7107(402) 930-7103 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Lisa Ann Blagdon NPPES

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

LISA ANN BLAGDON (NPI 1770450223) is an individual licensed practical nurse in Omaha, Nebraska, licensed in Nebraska (20758) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1770450223
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA ANN BLAGDON
Location Address4101 WOOLWORTH AVEOmaha, NE 68105-1850
Mailing Address10245 Berry StOmaha, NE 68127-3037
Phone(402) 930-7107
Fax(402) 930-7103
Sole ProprietorYes
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1770450223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NE · 20758
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4101 WOOLWORTH AVE, Omaha, NE 68105
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Other Providers at the Same Location NPPES 20

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

MRS. RUHIYYIH YOLAINE DEHART
Pharmacy Technician
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 955-5203
CARRIE KUBICEK RN,BSN, OCN
Registered Nurse (Infusion Therapy)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5342
DARCY RAE BOGER RN
Registered Nurse (Critical Care Medicine)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5151
MS. SHERI LYNN PLUGGE R.D.
Dietitian, Registered
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 346-8800
RUBEN DARIO PULIDO PH.D.
Psychologist
4101 WOOLWORTH AVE, MAIL CODE 116A1
OMAHA, NE 68105
Douglas County (402) 995-3490
LACEY HOBUS
Social Worker (Clinical)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-3250
MADALYN JOHNSON
Physician Assistant
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5253
MRS. DAWNETTE LYNN BREDBERG A-GPCNP, APRN
Nurse Practitioner (Adult Health)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5783

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 Lisa Blagdon's NPI number?

The NPI number for Lisa Blagdon is 1770450223. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Lisa Blagdon located?

Lisa Blagdon practices at 4101 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 930-7107.

What is Lisa Blagdon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Blagdon was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.