SKIN ENVY DERMATOLOGY (NPI# 1154895209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154895209 |
| Entity Type | Organization |
| Organization Name | SKIN ENVY DERMATOLOGY |
| Practice Address |
3140 Elk Ln Ste 600 Fremont NE 68025-8650 |
| Practice Telephone | 4029366198 |
| Mailing Telephone | 4029366198 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | DEBRA LYNN BAKER (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 4029366198 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026733400 | 05 |
| Street Address |
3140 ELK LN STE 600 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-8650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| 1922388347 | Erin Harrell | Physical Therapist | 450 E. 23rd St., Merrick Manor, Fremont, NE 68025 | 2011-08-17 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645979 | Louvella Nuqui Pabustan | Nurse Practitioner | 889 Corporate Way, Fremont, CA 94539-6115 | 2019-02-12 |
| 1841774775 | Farah Osmani | Nurse Practitioner | 36074 Pizarro Dr, Fremont, CA 94536-5419 | 2018-09-17 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1043526080 | Fremont Health | Nurse Practitioner | 426 East 22nd Street, Suite 100, Fremont, NE 68025-2633 | 2010-08-27 |
| 1285676759 | Susan L Doughty | Nurse Practitioner | 39500 Liberty Street, Tri City Health Center, Fremont, CA 94538 | 2006-06-11 |
| 1215552161 | Megan Grote | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-06-16 |
| 1366097610 | Rachael Nicole Bruechert | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-05 |
| 1336614213 | Kaitlin M Engle | Nurse Practitioner | N430 Wood Duck Dr, Fremont, WI 54940-8855 | 2018-10-08 |
| 1457839581 | Aye Aung | Nurse Practitioner | 2333 Mowry Ave Ste 300, Fremont, CA 94538-1626 | 2018-07-31 |
| 1447788757 | Jennifer Campbell | Nurse Practitioner | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2017-05-31 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on SKIN ENVY DERMATOLOGY.
| 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.