EMALIE PETERSEN (NPI# 1275983678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275983678 |
| Entity Type | Individual |
| Full Name | EMALIE PETERSEN |
| Credential | RN |
| Practice Address |
555 S 70th St Lincoln NE 68510-2462 |
| Practice Telephone | 4022198747 |
| Practice Fax Number | 4022198748 |
| Mailing Telephone | 4022198747 |
| Mailing Fax Number | 4022198748 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 74319 | NE | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 112056 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 S 70TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068440 | Robin Beth Allen | Internal Medicine | 555 S 70th St, Lincoln, NE 68510-2462 | 2005-10-24 |
| 1225654395 | Megan Gangwish | Nurse Anesthetist, Certified Registered | 555 S 70th St, Lincoln, NE 68510-2462 | 2020-06-24 |
| 1669015061 | Tysha L Bryant | Nurse Practitioner | 555 S 70th St, Lincoln, NE 68510-2462 | 2019-10-18 |
| 1457911752 | Nichole Katherine Walkinshaw | Registered Nurse | 555 S 70th St, Lincoln, NE 68510 | 2019-06-18 |
| 1013446913 | Natasha Nicole Andersen | Emergency Medicine | 555 S 70th St, Lincoln, NE 68510-2462 | 2017-06-06 |
| 1013446004 | Paige Policky | Physician Assistant | 555 S 70th St, Lincoln, NE 68510-2462 | 2017-06-05 |
| 1477909984 | Stephen Petry | Pharmacist | 555 S 70th St, Lincoln, NE 68510-2462 | 2016-05-13 |
| 1740636109 | Sheila Ann Tuma | Nurse Practitioner | 555 S 70th St, Lincoln, NE 68510-2462 | 2016-05-04 |
| 1053766303 | Leyuan Jack Chen | Family Medicine | 555 S 70th St, Lincoln, NE 68510-2462 | 2016-04-24 |
| 1861853186 | Dia Gerdes | Occupational Therapist | 555 S 70th St, Lincoln, NE 68510-2462 | 2016-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| 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 |
|---|---|---|---|---|
| 1538699160 | Michelle Marie Hynek-thomas | Nurse Practitioner | 1842 Sw 38th St, Lincoln, NE 68522-9421 | 2017-06-15 |
| 1316488083 | Amanda Levey | Nurse Practitioner | 2730 Paintball Way, Lincoln, ND 58504-2503 | 2017-03-15 |
| 1841678497 | Candice Mae Fryda | Nurse Practitioner | 4747 Pioneers Blvd Ste 600, Lincoln, NE 68506-5332 | 2015-05-15 |
| 1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
| 1700151651 | Janice Cunningham | Nurse Practitioner | 3640 S 6th St, Suite 6, Lincoln, NE 68502-4316 | 2012-03-11 |
| 1134420177 | Donna Jean Lottman | Nurse Practitioner | 2510 Southview Cir, Lincoln, NE 68512-3667 | 2010-11-08 |
| 1093028805 | Athena C Piper | Nurse Practitioner | 110 N 66th St, Lincoln, NE 68505-2402 | 2010-07-21 |
| 1962739656 | Elizabeth K Mollard | Nurse Practitioner | 1500 S 48th St Ste 712, Lincoln, NE 68506-1281 | 2009-11-17 |
| 1699924878 | Kelli K Schreiner | Nurse Practitioner | 1500 South 48th St, Suite 800, Lincoln, NE 68506 | 2008-09-12 |
| 1457515710 | Christine Ruth Shkolnick | Nurse Practitioner | 1600 S. 48th St, Lincoln, NE 68506 | 2008-07-16 |
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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.