OrganizationActive
D.b.a Mom'S Mastectomy
NPI 1649421884 · Prosthetic/Orthotic Supplier · Lincoln, NE
Provider details
- NPI number
- 1649421884
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jennifer Hawkins, Owner(402) 464-6001
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
415 N 66th St
Suite 8
Lincoln, NE 68505-2431
Phone: (402) 464-6001
Fax: (402) 464-6669
Street-level locationGet directions
Mailing address
415 N 66th St.
Lincoln, NE 68505
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2010-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.