PEMBERLY PLACE MEDICAL CLINIC LLC (NPI# 1396231692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396231692 |
Entity Type | Organization |
Organization Name | PEMBERLY PLACE MEDICAL CLINIC LLC |
Practice Address |
7655 Archer Place Lincoln NE 68516 |
Practice Telephone | 5315003650 |
Mailing Telephone | 5315003650 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-07-10 |
Authorized Official Name | KRISTIN M BUTTERFIELD (NURSE PRACTITIONER) |
Authorized Official Telephone | 5315003018 |
Authorized Official Credential | MSN, APRN, FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7655 ARCHER PLACE |
City | LINCOLN |
State | NE |
Zip Code | 68516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
1265878870 | Patrick Sands | Case Manager/Care Coordinator | 2935 Pine Lake Rd., Suite F, Lincoln, NE 68516 | 2013-05-22 |
Find all providers in zip 68516 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962015594 | Whitney A West | Nurse Practitioner | 900 Foxcroft Ct Apt 121, Lincoln, NE 68510-4177 | 2020-08-24 |
1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
1528449741 | Kimberly Waters | Nurse Practitioner | 3733 Holmes Park Rd, Lincoln, NE 68506-4645 | 2015-06-12 |
1629621354 | Kerry L Emeigh | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2019-07-22 |
1376102343 | Integrative Health and Wellness | Nurse Practitioner | 7405 Pioneers Blvd Ste 4, Lincoln, NE 68506-7554 | 2019-06-12 |
1457873457 | Jaimie Ann Masters Russell | Nurse Practitioner | 3901 Pine Lake Rd Ste 120, Lincoln, NE 68516-5497 | 2017-07-11 |
1871031427 | Kayla Ditommaso | Nurse Practitioner | 233 Concord Rd, Lincoln, MA 01773-5112 | 2017-02-03 |
1942679899 | Laycee Duhaime | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2015-09-22 |
1821409178 | Senior Care Clinic House Calls | Nurse Practitioner | 89 Lincoln Blvd, Suite 100, Lincoln, CA 95648-6315 | 2014-05-08 |
1407843048 | Amy K Arndt | Nurse Practitioner | 755 Fallbrook Blvd, Suite 100, Lincoln, NE 68521-9056 | 2005-09-29 |
Find all providers in LINCOLN |
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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.