IVY AUTUMN TODD (NPI# 1073112561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073112561 |
Entity Type | Individual |
Full Name | IVY AUTUMN TODD |
Credential | APRN |
Practice Address |
18809 Pinehurst Ave Omaha NE 68136-6490 |
Practice Telephone | 5712431548 |
Enumeration Date | 2020-10-26 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
113373 | NE | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871914366 | Ivy Todd | Physician Assistant | 401 Keisler Dr, Ste. 101, Cary, NC 27518-7084 | 2013-12-30 |
Street Address |
18809 PINEHURST AVE |
City | OMAHA |
State | NE |
Zip Code | 68136-6490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
1790331601 | Athletico Excel Nebraska, LLC | Occupational Therapist | 16918 Morgan Avenue, Ste 11, Gretna, NE 68136 | 2019-08-15 |
1942727821 | J and A Walter LLC | Optometrist | 9979 South 168th Ave., Omaha, NE 68136 | 2017-08-23 |
1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
1922271832 | Gosch Family Dental P.C. | Dentist | 9850 S 168th Ave, Suite #4, Omaha, NE 68136 | 2008-04-11 |
1225228521 | Jeremy Dean Beranek | Specialist/Technologist | 16118 Emiline St, Omaha, NE 68136 | 2007-08-01 |
1396967774 | Heartland Software Services, Inc | Specialist | 9905 South 176th Street, Omaha, NE 68136 | 2007-05-03 |
1720157209 | Optimal Health Dental PC | Dentist | 6909 S 157th St, Suite C, Omaha, NE 68136 | 2006-11-07 |
1932214475 | Tiburon Family Dental PC | Dentist | 16919 Audrey St, Suite 40, Omaha, NE 68136 | 2006-08-21 |
1023290459 | Laura Elizabeth Reardon | Psychologist | 8343 S. 168th Ave, Omaha, NE 68136-0001 | 2007-11-27 |
Find all providers in zip 68136 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992083752 | Tara Kaye Hoffman | Nurse Practitioner | The Nebraska Medical Center Picu, 982145 Nebraska Medical Center, Omaha, NE 68198-2145 | 2011-07-28 |
1548590730 | Anna Lanora Nolette | Nurse Practitioner | 985160 Nebraska Medical Ctr, Omaha, NE 68198-5160 | 2010-01-11 |
1093049116 | Melissa Ann Schembari | Nurse Practitioner | 16811 Burke St Ste 101, Omaha, NE 68118-2253 | 2009-09-22 |
1669492898 | Jacqueline R Hanks | Nurse Practitioner | 982168 Nebraska Medical Ctr, Omaha, NE 68198-2168 | 2006-07-20 |
1962056275 | Stefanie L Kammrad | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-07-25 |
1407409394 | Cassandra M Van Pelt | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-07-19 |
1437710043 | Children's Physicians | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-06-25 |
1417425968 | Lea Renee Barajas-deloa | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-11-02 |
1548748320 | Cassandra L Kilpatrick | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-08-02 |
1689152613 | Kristina Mueller | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-08-01 |
Find all providers in OMAHA |
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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.