JACQUIE MONTAG (NPI# 1124182845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124182845 |
| Entity Type | Individual |
| Full Name | JACQUIE MONTAG |
| Credential | NP |
| Practice Address |
2301 N 117th Ave Suite 202 Omaha NE 68164-3483 |
| Practice Telephone | 4024314711 |
| Practice Fax Number | 4024310361 |
| Mailing Telephone | 4024314711 |
| Mailing Fax Number | 4024310361 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
48090 | NE | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | LICENSE | 48090 | 01 |
| Street Address |
2301 N 117TH AVE SUITE 202 |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154678076 | Alegent Health Partners | General Practice | 2301 N 117th Ave, Ste 120, Omaha, NE 68164-3484 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619418209 | Opeyemi Oloyede | Registered Nurse | 4715 S 132nd St, Omaha, NE 68137-1701 | 2017-03-15 |
| 1952833089 | Precious Davis | Registered Nurse | 900 S 74th Plz, Omaha, NE 68114-4675 | 2017-03-29 |
| 1114175643 | Cheryl E Richards | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023521481 | Karlene Ann Dettwiller | Registered Nurse | 9695 N 1st Street, Prosser, NE 68883 | 2017-11-08 |
| 1114499142 | Lauren Cox | Registered Nurse | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-01-02 |
| 1265835391 | Stacie Petersen | Registered Nurse | 430 N Monitor St, West Point, NE 68788-1595 | 2014-10-03 |
Please comment or provide details below to improve the information on JACQUIE MONTAG.
| 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.