=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811340417
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GIAIMO PODIATRY OF NEBRASKA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2016
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 233 S 13TH ST STE 1900
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68508-2000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-244-2441
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4350 BROWNSBORO RD STE 210
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40207-1681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-244-2441
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP OF REVENUE ASSURANCE
-----------------------------------------------------
Name | JOY L STEVENS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 502-244-2441
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 359
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------