VICKI D PETERSON TRUKSA (NPI# 1053671883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053671883 |
| Entity Type | Individual |
| Full Name | VICKI D PETERSON TRUKSA |
| Credential | APRN |
| Practice Address |
505 S Park St Genoa NE 68640-3036 |
| Practice Telephone | 4029932206 |
| Mailing Telephone | 4029932206 |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
111343 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 S PARK ST |
| City | GENOA |
| State | NE |
| Zip Code | 68640-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336127950 | Steve D Watton | Physician Assistant | 505 S Park St, Park Street Medical Clinic, Genoa, NE 68640-3036 | 2006-01-04 |
| 1578172045 | Lauren Esch | Family Medicine | 505 S Park St, Genoa, NE 68640-3036 | 2020-07-30 |
| 1720505522 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2017-08-23 |
| 1386077535 | Jennifer Lynn Swantek | Nurse Practitioner | 505 S Park St, Genoa, NE 68640-3036 | 2013-08-12 |
| 1104859206 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790086999 | Park Street Medical Clinic PC | Family Medicine | 505 South Park Street, Genoa, NE 68640 | 2010-11-04 |
| 1679071724 | Elisa Jean Zeiss | Physician Assistant | Po Box 310, Genoa, NE 68640-0310 | 2018-01-23 |
| 1710275060 | City of Genoa | Nursing Facility/Intermediate Care Facility | 706 Ewing Avenue, Genoa, NE 68640-3035 | 2011-07-20 |
| 1649228511 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2006-05-04 |
| 1730795659 | Paige Julianne Pauley | Physician Assistant | 706 Ewing St, Genoa, NE 68640-3035 | 2020-09-16 |
| 1710548292 | Jordan Sue Chohon | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2019-06-25 |
| 1720579220 | Kimberly Ann Pfeifer | Dietitian, Registered | 706 Ewing St, Genoa, NE 68640-3035 | 2018-05-21 |
| 1386150522 | Katelyn Elizabeth Palkovic | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2017-12-26 |
| 1326457730 | Kala Preister | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2014-08-11 |
| 1417395955 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2013-06-06 |
| Find all providers in zip 68640 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144612920 | Mary Frances Bohne | Nurse Practitioner | 14900 Derby Line Rd, Genoa, IL 60135-7903 | 2015-03-03 |
| 1386077535 | Jennifer Lynn Swantek | Nurse Practitioner | 505 S Park St, Genoa, NE 68640-3036 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1154929230 | Chelsea Lynae Jones | Nurse Practitioner | 75 Highway 77, Winnebago, NE 68071-5001 | 2020-10-12 |
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1255944930 | Taylor Marjorie Feilmeier | Nurse Practitioner | 56338 881 Rd, Hartington, NE 68739-4021 | 2020-08-24 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| 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.