CASSANDRA M VAN PELT


Address: 8200 Dodge St, Omaha, NE 68114-4113
Phone: 4029555400

CASSANDRA M VAN PELT (NPI# 1407409394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407409394
Entity Type Individual
Full Name CASSANDRA M VAN PELT
Credential APRN-NP
Practice Address 8200 Dodge St
Omaha
NE 68114-4113
Practice Telephone 4029555400
Practice Fax Number 4029553674
Mailing Telephone 4029555400
Mailing Fax Number 4029553674
Enumeration Date 2019-07-19
Last Update Date 2019-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
112805 NE Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
8200 Dodge St, Omaha, NE 681144113 4029555400 4029553674

Office Location

Street Address 8200 DODGE ST
City OMAHA
State NE
Zip Code 68114-4113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801899067 Nadia Abraham Pediatrics 8200 Dodge St, Children's Hospital - Hospitalists, Omaha, NE 68114-4113 2005-05-23
1184224537 Ashton N Groves Physician Assistant 8200 Dodge St, Omaha, NE 68114-4113 2020-10-27
1295332674 Megan Elizabeth Ruffcorn Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2020-10-08
1275141939 Adam Theodore Woroniecki Dentist 8200 Dodge St, Omaha, NE 68114-4113 2020-07-20
1609484807 Ryan Adam Smith Dentist 8200 Dodge St, Omaha, NE 68114-4113 2020-07-14
1881212405 Jessica Koraleski Audiologist-Hearing Aid Fitter 8200 Dodge St, Omaha, NE 68114-4113 2020-07-09
1639796279 Regina A. Wagner Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2020-06-30
1841817863 Julie L. Johnsen Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2020-06-26
1932723749 Kelsey C Spackler Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2020-06-08
1942823943 Hilary S. King Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2020-05-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073112561 Ivy Autumn Todd Nurse Practitioner 18809 Pinehurst Ave, Omaha, NE 68136-6490 2020-10-26
1992083752 Tara Kaye Hoffman Nurse Practitioner The Nebraska Medical Center Picu, 982145 Nebraska Medical Center, Omaha, NE 68198-2145 2011-07-28
1548590730 Anna Lanora Nolette Nurse Practitioner 985160 Nebraska Medical Ctr, Omaha, NE 68198-5160 2010-01-11
1093049116 Melissa Ann Schembari Nurse Practitioner 16811 Burke St Ste 101, Omaha, NE 68118-2253 2009-09-22
1669492898 Jacqueline R Hanks Nurse Practitioner 982168 Nebraska Medical Ctr, Omaha, NE 68198-2168 2006-07-20
1962056275 Stefanie L Kammrad Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2019-07-25
1437710043 Children's Physicians Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2019-06-25
1417425968 Lea Renee Barajas-deloa Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2018-11-02
1548748320 Cassandra L Kilpatrick Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2018-08-02
1689152613 Kristina Mueller Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2018-08-01
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Competitor

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City OMAHA
Zip Code 68114

Improve Information

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Dataset Information

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.

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