Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Croix Nebraska Sip LLC

Organization Case Management Registered Nurse · NPI 1881284602

St Croix Nebraska Sip LLC is a Case Management Registered Nurse in Omaha, Nebraska. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1065 N 115th St Ste 120
Omaha, NE 68154-4423
Phone: (402) 609-4818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X
Case Management Registered Nurse Taxonomy 163WC0400X
Licensed Practical Nurse Taxonomy 164W00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1881284602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Olson — Chief Compliance Officer · (651) 237-9716
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021
Mailing address1065 N 115th St Ste 120, Omaha, NE 68154-4423

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