NPI 1649091455 · live from the CMS NPI Registry
Taylor Bacon, APRN
Nurse Practitioner in Omaha, NE. National Provider Identifier 1649091455, active.
NPI record
| NPI | 1649091455 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 8303 Dodge St, Omaha, NE 68114 |
| Practice phone | 402-354-2360 |
| Mailing address | Po Box 3755, Omaha, NE 68103 |
| Enumerated | October 23, 2024 |
| Last updated | February 2, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 115418 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.