Provider Demographics
NPI:1255546206
Name:HOLISTIC HARMONY INC.
Entity type:Organization
Organization Name:HOLISTIC HARMONY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:402-480-0082
Mailing Address - Street 1:7421 S 36TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5701
Mailing Address - Country:US
Mailing Address - Phone:402-480-0082
Mailing Address - Fax:402-421-8739
Practice Address - Street 1:1919 S 40TH ST
Practice Address - Street 2:SUITE 320A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5243
Practice Address - Country:US
Practice Address - Phone:402-480-0082
Practice Address - Fax:402-421-8739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110769363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39086OtherBLUE CROSS BLUE SHIELD
NE10025564100Medicaid
NE099964Medicare Oscar/Certification
NE39086OtherBLUE CROSS BLUE SHIELD
NE10025564100Medicaid