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DEVENU MEDICAL REJUVENATION CENTER
NPI 1780874826
Family Medicine in Omaha, NE

Active since July 25, 2007
9802 NICHOLAS ST, SUITE 305, OMAHA, NE 68114(402) 397-2300(402) 397-2303 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devenu Medical Rejuvenation Center NPPES

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

DEVENU MEDICAL REJUVENATION CENTER (NPI 1780874826) is a healthcare organization registered as a family medicine in Omaha, Nebraska and active in the NPI registry since July 2007. The organization lists Julie L Waddell, Director, as its authorized official.

NPPES Registry Identity

NPI1780874826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEBRASKA MEDICAL AESTHETICS, LLC
Location Address9802 NICHOLAS ST, SUITE 305Omaha, NE 68114-2106
Mailing Address9802 Nicholas St, Suite 305Omaha, NE 68114-2106 · (402) 397-2300 · Fax (402) 397-2303
Phone(402) 397-2300
Fax(402) 397-2303
Organization SubpartNo
Authorized OfficialJulie L WaddellDirector · (402) 397-2300
Enumeration DateJuly 25, 2007
Last NPPES UpdateJune 30, 2009
✔ NPI 1780874826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9802 NICHOLAS ST, Omaha, NE 68114
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Other Names 1

Doing Business AsDevenu Medical Rejuvenation Center

Other Identifiers 4

Medicaid10025539700NE
Medicare NSC5950000001
Medicare PINNA1331
Other00196NE · Bcbs

Other Providers at the Same Location NPPES 14

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

ALLEENA ZUMBERI
Behavior Technician
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 252-1363
ADAM SHERMAN
Technician (Personal Care Attendant)
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 697-8400
GRANDGEN, LLC
Specialist
9802 NICHOLAS ST, SUITE 305
OMAHA, NE 68114
Douglas County (402) 397-2300
BARBARA MENDEZ
Technician (Personal Care Attendant)
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 697-8400
RHONDA WHITE
Behavior Technician
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 252-1363
NOAH SHERMAN
Technician (Personal Care Attendant)
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 697-8400
GABRIELA RAMOS
Behavior Technician
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 252-1363
KATHRYN NEWMAN
Technician (Personal Care Attendant)
9802 NICHOLAS ST
OMAHA, NE 68114
Douglas County (402) 697-8400

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 Medical Aesthetics, LLC's NPI number?

The NPI number for Nebraska Medical Aesthetics, LLC is 1780874826. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider is doing business as Devenu Medical Rejuvenation Center.

Where is Nebraska Medical Aesthetics, LLC located?

Nebraska Medical Aesthetics, LLC is located at 9802 Nicholas St Suite 305, Omaha, NE 68114. The listed phone number is (402) 397-2300.

What is Nebraska Medical Aesthetics, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nebraska Medical Aesthetics, LLC was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.