Healthcare Provider Details

I. General information

NPI: 1386536837
Provider Name (Legal Business Name): KATHERINE STEPHANIE ORDONEZ NREMT-B, RMA,CPT,CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 S 75TH ST
OMAHA NE
68124-1700
US

IV. Provider business mailing address

1870 S 75TH ST
OMAHA NE
68124-1700
US

V. Phone/Fax

Practice location:
  • Phone: 402-361-5700
  • Fax: 402-361-5700
Mailing address:
  • Phone: 402-361-5700
  • Fax: 402-361-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number110326
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE3342676
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number20-0155R21
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number119421
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: