DANIEL LEE FUDGE (NPI# 1023139227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023139227 |
| Entity Type | Individual |
| Full Name | DANIEL LEE FUDGE |
| Practice Address |
4706 S 48th St Lincoln NE 68516-1276 |
| Mailing Address |
3018 Dixwell Ave Hamden CT 06518-3508 |
| Practice Telephone | 4024899792 |
| Practice Fax Number | 4024899793 |
| Mailing Telephone | 2032883554 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
734 | NE | Behavioral Health & Social Service Providers |
| Street Address |
4706 S 48TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919718 | Erica Schroeder | Counselor | 4706 S 48th St, Lincoln, NE 68516-1276 | 2017-01-27 |
| 1144451436 | Timothy S Schultz | Counselor | 4706 S 48th St, Lincoln, NE 68516-1276 | 2009-08-04 |
| 1467681353 | Holly M Burns | Counselor | 4706 S 48th St, Lincoln, NE 68516-1276 | 2009-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427350768 | Jenni Bruning Brown | Psychologist | 2885 Laurel St, Lincoln, NE 68502-5145 | 2010-11-18 |
| 1699938035 | Rod W. Kohl, P.C. | Psychologist | 1617 Normandy Ct, Suite 100, Lincoln, NE 68512-1474 | 2008-07-07 |
| 1497809966 | Bryan Medical Center | Psychologist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316022668 | Catherine Jones-hazledine | Psychologist | 985450 Nebraska Med Ct, Omaha, NE 68198-5450 | 2006-10-26 |
| 1922183284 | Judith Mathews | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1235212432 | Joseph Evans | Psychologist | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2006-10-23 |
| 1780809434 | William Edwin Reay | Psychologist | 5115 F Street, Omaha, NE 68117 | 2007-04-16 |
| 1750466512 | Cathleen C Piazza | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-27 |
| 1205911344 | Nancy Foster | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1023193190 | Mark Shriver | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1750466868 | Amanda Volkmer | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1528143682 | Holly Roberts | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1396820478 | Rachel Valleley | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.