ERICA LEE HAAKE (NPI# 1033264585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033264585 |
| Entity Type | Individual |
| Full Name | ERICA LEE HAAKE |
| Other Name | ERICA L NICKESON |
| Credential | M.D. |
| Practice Address |
2444 W Faidley Ave Grand Island NE 68803-4327 |
| Mailing Address |
2444 W Faidley Ave P O Box 550 Grand Island NE 68803-4327 |
| Practice Telephone | 3083821100 |
| Practice Fax Number | 3083850796 |
| Mailing Telephone | 3083821100 |
| Mailing Fax Number | 3083850796 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 25132 | OK | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
25657 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47017633016 | 05 | |
| NE | RR MEDICARE | CO4245 | 01 |
| Street Address |
2444 W FAIDLEY AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492803 | Douglas J Herbek | Family Medicine | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2005-07-29 |
| 1922639848 | Luke Friesen | Physician Assistant | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2020-01-29 |
| 1457857815 | Katie M Meidlinger | Counselor | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2018-04-04 |
| 1487173621 | Paul Andrew Cramer | Nurse Practitioner | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2017-09-19 |
| 1790207124 | Sarah Elizabeth Johnson | Nurse Practitioner | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2017-07-07 |
| 1073033718 | Alberto Solache Jr. | Family Medicine | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2017-06-23 |
| 1831504224 | Lindsey Christel Mettenbrink | Family Medicine | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2014-06-24 |
| 1902239429 | Karen J. Johnson | Nurse Practitioner | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2013-08-20 |
| 1710227970 | Jessica Joy Stanton | Physician Assistant | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2013-02-26 |
| 1699063313 | Joseph Davis Law Iv | Pediatrics | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2011-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952437568 | Aaa Newlife Clinic | Obstetrics & Gynecology | 6520 Sorensen Pkwy, Omaha, NE 68152-2138 | 2007-02-26 |
| 1477665578 | Midlands Ob-gyn, PC | Obstetrics & Gynecology | 301 N 31st St, Norfolk, NE 68701-3466 | 2006-08-31 |
| 1497752331 | Ernest K Bussinger | Obstetrics & Gynecology | 3911 Avenue B, Ste 3100, Scottsbluff, NE 69361-4617 | 2005-07-07 |
| 1841617834 | Meghen L Bokemper | Obstetrics & Gynecology | 5055 A St Ste 200, Lincoln, NE 68510 | 2014-03-27 |
| 1770627861 | Kristi K Peterson Md PC | Obstetrics & Gynecology | 10701 S 72nd St, Suite 100, Papillion, NE 68046-3427 | 2007-02-20 |
| 1790860401 | Dennis L Hodge | Obstetrics & Gynecology | 9110 Andermatt Dr Ste 2, Lincoln, NE 68526-6701 | 2006-10-25 |
| 1144327966 | Nancy T Hicks | Obstetrics & Gynecology | 2723 S 87th St, Omaha, NE 68124-3038 | 2006-09-20 |
| 1821101718 | Donald L Gibbens | Obstetrics & Gynecology | 1600 S 48th St, Suite 400, Lincoln, NE 68506-1275 | 2006-08-16 |
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on ERICA LEE HAAKE.
| 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.