NPI 1538052246 · live from the CMS NPI Registry
Blake William Badillo
Nurse Practitioner, Family in Omaha, NE. National Provider Identifier 1538052246, active.
NPI record
| NPI | 1538052246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4101 Woolworth Ave, Omaha, NE 68105 |
| Practice phone | 402-346-8800 |
| Enumerated | June 2, 2025 |
| Last updated | October 1, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 116852 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.