DR. JILL S NELSON (NPI# 1164531158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164531158 |
| Entity Type | Individual |
| Full Name | DR. JILL S NELSON |
| Credential | M.D. |
| Practice Address |
909 N 96th St Suite 201 Omaha NE 68114-2497 |
| Practice Telephone | 4023304555 |
| Practice Fax Number | 4029340945 |
| Mailing Telephone | 4023304555 |
| Mailing Fax Number | 4029340945 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 33262 | IA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 22549 | NE | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
22549 | NE | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
33262 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100255555000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603954 | Jill Kristine Nelson | Physician Assistant | 544 N 67th St, Seattle, WA 98103-5312 | 2020-06-12 |
| 1861841637 | Jill Ann Nelson | Counselor | 1070 N Milwaukee Ave, Chicago, IL 60642-4099 | 2016-06-12 |
| 1144410069 | Jill Marie Nelson | Physical Therapist | N10732 Newton Lake Rd, Athelstane, WI 54104-9629 | 2007-07-26 |
| 1750319786 | Jill E Nelson | Physician Assistant | 550 17th Ave Ste 500, Seattle, WA 98122 | 2006-06-29 |
| 1316303936 | Jill Nelson | Occupational Therapy Assistant | 1131 S Mabelle Ave, Fergus Falls, MN 56537-3723 | 2016-01-12 |
| 1164898995 | Jill C Nelson | Registered Nurse | 1 Akron General Ave, Akron, OH 44307-2432 | 2015-08-17 |
| 1336532530 | Jill L Nelson | Massage Therapist | 10410 Kensington Pkwy, Ste 112, Kensington, MD 20895-2943 | 2015-03-12 |
| 1235316811 | Jill Nelson | Counselor | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2008-01-26 |
| 1750562328 | Jill R Nelson | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-11-23 |
| 1790816015 | Jill Diane Nelson | Physician Assistant | 130 S Union St, Suite 7, Olean, NY 14760-3676 | 2007-03-08 |
| Street Address |
909 N 96TH ST SUITE 201 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517405 | Marc R Hapke | Pathology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2005-06-13 |
| 1134431133 | Sara Elizabeth West | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2010-07-07 |
| 1225290596 | Judy Carmen Wolpert | Dermatology | 909 N 96th St, Omaha, NE 68114-2497 | 2008-06-27 |
| 1700090024 | Ashley Laurel Drake | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2007-05-09 |
| 1518078260 | Kimberley A Deats | Physician Assistant | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-08-31 |
| 1598713935 | Anthony J Griess | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
| 1134177488 | David J Watts | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
| 1114975489 | Julie Ann Roubal | Physician Assistant | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
| 1871541078 | Dermatology Surgery Center PC | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1528217395 | Justin Gerhard Madson | Dermatology | 4242 Farnam St., Suite 360, Omaha, NE 68131-2850 | 2008-09-16 |
| 1457551889 | Dermatology Specialists of Omaha LLC | Dermatology | 909 N 96th St Ste 201, Omaha, NE 68114-2508 | 2007-07-24 |
| 1508064833 | Robert J. Fonda, M.d., P.C. | Dermatology | 8601 W. Dodge Rd., Suite 118, Omaha, NE 68114-3457 | 2007-07-09 |
| 1740494806 | Tricia L Hultgren | Dermatology | 909 N 96 St, Suite 201, Omaha, NE 68114-2508 | 2007-05-09 |
| 1053461137 | Center of Dermatology, PC | Dermatology | 10110 Nicholas Street, Suite #103, Omaha, NE 68114-2185 | 2007-01-11 |
| 1316041734 | James M. Shehan | Dermatology | 12910 Pierce St Ste 120, Omaha, NE 68144-1106 | 2006-09-08 |
| 1801906326 | Christopher J Huerter | Dermatology | 601 N 30th St Ste 5700, Omaha, NE 68131-2137 | 2006-08-30 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| 1568436210 | Robert J. Fonda | Dermatology | 106 S 88th St, Omaha, NE 68114-4020 | 2006-02-16 |
| 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.