NEBRASKA SLEEP LAB LLC (NPI# 1205877636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205877636 |
| Entity Type | Organization |
| Organization Name | NEBRASKA SLEEP LAB LLC |
| Practice Address |
500 W Leota St Suite 250 North Platte NE 69101-6576 |
| Mailing Address |
Po Box 702 North Platte NE 69103-0702 |
| Practice Telephone | 3085322331 |
| Practice Fax Number | 3085322332 |
| Mailing Telephone | 3085322331 |
| Mailing Fax Number | 3085322332 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK ANDREW NIELSEN (DOCTOR/PARTNER) |
| Authorized Official Telephone | 3085322331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MIDLAND'S CHOICE GROUP # | F249583 | 01 |
| Street Address |
500 W LEOTA ST SUITE 250 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508750 | Byron L. Barksdale | Dermatology | 500 W Leota St, Suite 200, North Platte, NE 69101-6576 | 2005-09-19 |
| 1336537711 | Stacey Coppersmith | Physician Assistant | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2015-01-07 |
| 1053608646 | Emily J Jones | Family Medicine | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2011-07-01 |
| 1518151323 | Susan M Schuckert Md PC | Internal Medicine | 500 W Leota St, Ste 100, North Platte, NE 69101-6576 | 2007-09-05 |
| 1831380740 | Lyndann M Sokolowski | Nurse Practitioner | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2007-08-06 |
| 1962530485 | Internal Medicine Associates of North Platte LLC | Specialist | 500 W Leota St, Suite 150, North Platte, NE 69101-6576 | 2007-02-28 |
| 1821027996 | Natalie Ann Waskowiak | Physician Assistant | 500 W Leota St, Suite 150, North Platte, NE 69101-6576 | 2006-07-01 |
| 1548209174 | Kristin S Lake | Internal Medicine | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2006-06-06 |
| 1700872504 | F. Lyle Walters Barksdale | Pathology | 500 W Leota St, North Platte, NE 69101-6578 | 2005-09-27 |
| 1326033028 | Delane A Wycoff | Pathology | 500 W Leota St, North Platte, NE 69101-6578 | 2005-09-19 |
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| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
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| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952662496 | Kearney Sleep Lab, LLC | Clinic/Center | 109 E 52nd St, Suite 2, Kearney, NE 68847-0502 | 2012-05-31 |
| 1861758336 | Somnos Laboratories Inc | Clinic/Center | 2424 S Locust St, Ste E, Grand Island, NE 68801-8269 | 2012-04-09 |
| 1699052860 | Heartland Health Therapy, L.L.C. | Clinic/Center | 11011 Q St, Suite 101c, Omaha, NE 68137-3700 | 2011-11-15 |
| 1215160486 | Frontier Diagnostic Sleep Center LLC | Clinic/Center | 8425 F Street, Suite B, Omaha, NE 68127-1628 | 2009-09-03 |
| 1982891313 | Heartland Health Therapy, LLC | Clinic/Center | 11011 Q Street, Suite 102c, Omaha, NE 68137 | 2007-10-01 |
| 1457383747 | Diagnostic Sleep Solutions, LLC | Clinic/Center | 15 E 27th St, Scottsbluff, NE 69361-4352 | 2006-07-07 |
| 1366975377 | Neuro-sleep Solutions LLC | Clinic/Center | 5561 S 48th St, Suite 215g, Lincoln, NE 68516-4109 | 2017-04-06 |
| 1578933586 | Gsr Enterprises Inc | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-10-02 |
| 1023488038 | Gsr Enterprises Inc | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-10-02 |
| 1104294404 | Gsr Enterprises Inc | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-09-03 |
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| City | NORTH PLATTE |
| Zip Code | 69101 |
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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.