Provider Demographics
NPI:1003060864
Name:CHILDREN'S HOSPITAL - DIABETES EDUCATION
Entity Type:Organization
Organization Name:CHILDREN'S HOSPITAL - DIABETES EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL AUDIT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNA
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, MS, FHFMA, CPC
Authorized Official - Phone:402-955-6775
Mailing Address - Street 1:8200 DODGE STREET
Mailing Address - Street 2:CHILDREN'S HOSPITAL - DIABETES EDUCATION
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:
Practice Address - Street 1:8200 DODGE STREET
Practice Address - Street 2:CHILDREN'S HOSPITAL - DIABETES EDUCATION
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4113
Practice Address - Country:US
Practice Address - Phone:402-955-3871
Practice Address - Fax:402-955-8738
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE81005OtherBCBS