| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275556730 | EILTS | SUSANNE | E | 10170 NICHOLAS ST | OMAHA | NE | 681142174 | |
| 1417994104 | FIKSINSKI | MAGDALENA | M | 10170 NICHOLAS ST | OMAHA | NE | 681142174 | |
| 1932331782 | GALL | BRYAN | K | 10170 NICHOLAS ST | OMAHA | NE | 681142174 | |
| 1326057571 | PASSER | JEFFREY | ALAN | 10170 NICHOLAS ST | OMAHA | NE | 681142174 |