Healthcare Provider Details

I. General information

NPI: 1720139058
Provider Name (Legal Business Name): JANELLE ROXANNE REMINGTON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 ELK RIDGE RD
LINCOLN NE
68516-3370
US

IV. Provider business mailing address

5020 ELK RIDGE RD
LINCOLN NE
68516-3370
US

V. Phone/Fax

Practice location:
  • Phone: 402-440-8025
  • Fax: 402-328-2425
Mailing address:
  • Phone: 402-440-8025
  • Fax: 402-328-2425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number918
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: