Provider Demographics
NPI:1275013112
Name:SLOMINSKI, REBECCA DAWN (DNP APRN)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:DAWN
Last Name:SLOMINSKI
Suffix:
Gender:F
Credentials:DNP APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22025 TRAILRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2508
Mailing Address - Country:US
Mailing Address - Phone:402-540-7915
Mailing Address - Fax:
Practice Address - Street 1:11404 W DODGE RD STE 300
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2511
Practice Address - Country:US
Practice Address - Phone:402-898-1113
Practice Address - Fax:402-819-5588
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE51393163WP0200X
NE112706363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026857400Medicaid