OrganizationActive
Coddington Medical Family Practice LLC
NPI 1205264231 · Primary Care Clinic/Center · Lincoln, NE
Provider details
- NPI number
- 1205264231
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Sullivan, President(402) 742-2502
- License
- 17443 (NE)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1336 West a Street, Suite a
Lincoln, NE 68522
Phone: (402) 742-2502
Street-level locationGet directions
Mailing address
7711 W Walin Ln
Lincoln, NE 68532-9200
Registry dates
- Enumerated
- 2013-10-30
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.