HEARTLAND FUNCTIONAL MEDICINE PC (NPI# 1316436850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316436850 |
| Entity Type | Organization |
| Organization Name | HEARTLAND FUNCTIONAL MEDICINE PC |
| Practice Address |
10701 S 72nd St Papillion NE 68046-3427 |
| Practice Telephone | 4028279421 |
| Practice Fax Number | 4029998029 |
| Mailing Telephone | 4028279421 |
| Mailing Fax Number | 4029998029 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | MICHELLE MCCASLIN (OWNER) |
| Authorized Official Telephone | 4028279421 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10701 S 72ND ST |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618637 | Sally J Jochens | Nurse Practitioner | 10701 S 72nd St, Suite 100, Papillion, NE 68046-3423 | 2005-11-30 |
| 1427422989 | Justin Joseph Brazda | Chiropractor | 10701 S 72nd St, Unit 120, Papillion, NE 68046-3427 | 2015-11-20 |
| 1033581509 | Jessica Gering | Nurse Practitioner | 10701 S 72nd St, Ste 100, Papillion, NE 68046-3427 | 2015-10-23 |
| 1801063920 | Sarpy Chiropractic P.C. | Chiropractor | 10701 S 72nd St, Ste 120, Papillion, NE 68046-3427 | 2008-05-08 |
| 1770627861 | Kristi K Peterson Md PC | Obstetrics & Gynecology | 10701 S 72nd St, Suite 100, Papillion, NE 68046-3427 | 2007-02-20 |
| 1427003136 | Kristi K Peterson | Obstetrics & Gynecology | 10701 S 72nd St, Suite 100, Papillion, NE 68046-3423 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
| Find all providers in zip 68046 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972097350 | Rachel Breitkreutz | Nurse Practitioner | 312 Olson Dr Ste 101, Papillion, NE 68046-2981 | 2018-06-19 |
| 1053804120 | Roni L Pinkerton | Nurse Practitioner | 16311 S 96th St, Papillion, NE 68046-4564 | 2018-06-12 |
| 1306371646 | Janet Perrotta | Nurse Practitioner | 501 W Centennial Rd, Papillion, NE 68046-4304 | 2017-04-24 |
| 1417386657 | Brooke Marie Bynum | Nurse Practitioner | 4628 Crestview Dr, Papillion, NE 68133-4776 | 2013-11-07 |
| 1164715355 | Michelle Maile Mccaslin | Nurse Practitioner | 10701 S 72nd St Ste 100, Suite 100, Papillion, NE 68046-3427 | 2011-05-19 |
| 1275166126 | Alexei Boettcher Rosenthal | Nurse Practitioner | 312 Olson Dr, Papillion, NE 68046-2978 | 2020-02-19 |
| 1851811566 | Amanda Elizabeth Soulliere | Nurse Practitioner | 741 Pinnacle Dr, Papillion, NE 68046-6269 | 2017-06-23 |
| 1790934594 | Katherine A. Hoffman | Nurse Practitioner | 11650 S 73rd St, Papillion, NE 68046-1500 | 2008-09-16 |
| 1053432997 | Mildred Pepple | Nurse Practitioner | 11111 S 84th St, Papillion, NE 68046-4122 | 2007-04-02 |
| 1477690311 | Roberta A Kramer | Nurse Practitioner | 11111 S 84th St, Papillion, NE 68046-4122 | 2007-01-31 |
| Find all providers in PAPILLION | ||||
Please comment or provide details below to improve the information on HEARTLAND FUNCTIONAL MEDICINE PC.
| 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.