BOBBI L. FAGAN PEER SPECIALIST – NPI #1477024206
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

BOBBI FAGAN is a peer specialist located in OMAHA, NE. NPPES has assigned the NPI number 1477024206 to BOBBI FAGAN on December 05, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

The NPI profile was previously updated about 2 years ago on Jun 06, 2024. See the complete NPI profile for BOBBI FAGAN below.

NPI Profile for
BOBBI L. FAGAN

NPI Number
1477024206
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BOBBI L. FAGAN
Credentials
PEER SPECIALIST
Primary location
415 SOUTH 25TH AVE
ANNEX BLD
OMAHA, NE 68131
Phone: (402) 715-4226 Fax:
1 Other location(s):
4006 Ida St
ALPHA LIFE
Omaha, NE 68112-0257
Phone: (531) 207-6462
Fax: (402) 999-4786
Mailing address
4006 IDA ST
ALPHA LIFE
OMAHA, NE 68112-0257
Phone: (531) 207-6462 Fax: (402) 999-4786
Sole Proprietor
Yes
Updated
Certification Date
Jun 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BOBBI FAGAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERACCESS NENE441934
OTHERPUBLIC HEALTHNE52521
MEDICAIDNE01520101901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
NE CPSS-305
376K00000X
- Nurse's Aide
NE 52521

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.