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Jamar Lydell Johnson

Contractor β€’ Omaha, NE

Active NPI 1114728771 Individual Practitioner Male Practitioner
Practice location in NPPES

5307 Tucker St
Omaha, NE 681521831

Call 4028800846 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5307 Tucker St

Omaha, NE 681521831

Telephone 4028800846
Fax 4028800846

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Omaha and Nebraska

120 active clinicians are listed under Contractor with a practice address in Omaha, NE (272 in Nebraska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Omaha

0% of these 120 clinicians have the CMS telehealth indicator.

0% of these 120 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-10
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2025

Technician

βœ…
NPI Profile Active March 20, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2025

Registered at 5307 TUCKER ST, OMAHA, NE 681521831 (Tel: 4028800846)

πŸ“
Business Mailing Address (Initial Record) March 20, 2025

Registered at 5307 TUCKER ST, OMAHA, NE 681521831 (Tel: 4028800846)

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2025

Recorded as JAMAR JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Contractor

🟒
Initial NPI Registration & Enumeration March 20, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114728771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2025
Last Update: November 10, 2025
Sole Proprietor: Yes

Mailing Address

5307 Tucker St

Omaha, NE 681521831

Phone: 4028800846

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.