Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1134135130
Nathan R HaeckerMD
Active
NPI Number1134135130
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1134135130
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-31
Last Updated2021-07-27
Mailing Address17645 Wright St Ste 300
Omaha, NE 68130-2195
United States
📍 View Map
Primary Practice Address17645 Wright St Ste 300
Omaha, NE 68130-2195
United States
Phone: (833) 667-2967
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Q00000X – Family MedicineGA86994
No207Q00000X – Family MedicineTXS5639
No207Q00000X – Family MedicineNY304100
No207Q00000X – Family MedicineWI742-320
No207Q00000X – Family MedicineSD11947
No207Q00000X – Family MedicineNC2020-00796
No207Q00000X – Family MedicineMN66988
No207Q00000X – Family MedicineCOCDR.0000656
No207Q00000X – Family MedicineIL036.152227
No207Q00000X – Family MedicineOH35.138831
No207Q00000X – Family MedicinePAMD471166
No207Q00000X – Family MedicineMIEMC0000218
No207Q00000X – Family MedicineIN01083698A
No207Q00000X – Family MedicineKY54014
Yes207Q00000X – Family MedicineNE23926
Export Provider Record NPI 1134135130
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1134135130

Nathan R Haecker MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134135130. The primary specialty listed is Family Medicine. The provider is located in Omaha, NE. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134135130?

NPI 1134135130 belongs to Nathan R Haecker MD, a Family Medicine in Omaha, NE. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134135130 active?

The current status of NPI 1134135130 in the NPPES registry is Active. The record was last updated on 2021-07-27.

What specialty is NPI 1134135130?

NPI 1134135130 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134135130?

You can verify NPI 1134135130 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134135130?

The primary practice address on file for NPI 1134135130 is 17645 Wright St Ste 300, Omaha, NE 68130-2195. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134135130 issued?

NPI 1134135130 was first issued (enumerated) on 2006-07-31. The NPPES record was last updated on 2021-07-27.

Practice Location Map

Nathan R Haecker is located at 17645 Wright St Ste 300, Omaha, NE. Use the map below to find directions or verify the practice location.

📍 17645 Wright St Ste 300, Omaha, NE 68130-2195  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nathan R Haecker. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1134135130. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine86994GA
Family MedicineS5639TX
Family Medicine304100NY
Family Medicine742-320WI
Family Medicine11947SD
Family Medicine2020-00796NC
Family Medicine66988MN
Family MedicineCDR.0000656CO
Family Medicine036.152227IL
Family Medicine35.138831OH
Family MedicineMD471166PA
Family MedicineEMC0000218MI
Family Medicine01083698AIN
Family Medicine54014KY
Family Medicine23926NE
Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162