GRETCHEN WHEELOCK (NPI# 1417251216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417251216 |
| Entity Type | Individual |
| Full Name | GRETCHEN WHEELOCK |
| Credential | ARNP |
| Practice Address |
Us Highway 77-75 Winnebago NE 68071 |
| Mailing Address |
3303 Rebecca St Sioux City IA 51104-2324 |
| Practice Telephone | 4028783582 |
| Mailing Telephone | 7122791759 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
111097 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
111097 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
111228 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3303 Rebecca St, Sioux City, IA 511042324 | 7122791759 | |
| 8 W 37th Street Pl, Sioux City, IA 511042106 | 7126351137 |
| Street Address |
US HIGHWAY 77-75 |
| City | WINNEBAGO |
| State | NE |
| Zip Code | 68071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242950 | Adam Lee Goetz | Pharmacist | 225 S Bluff Str, Winnebago, NE 68071 | 2020-07-08 |
| 1659932424 | Sandra Jo Kruse-anderson | Registered Nurse | 225 S. Bluff St., Winnebago, NE 68071 | 2019-06-24 |
| 1093272668 | Ricardo Osorio | Nurse Practitioner | 225 Us-75, Winnebago, NE 68071 | 2019-03-01 |
| 1891268736 | Lexa Wright | Pharmacist | 225 S Bluff St, Winnebago, NE 68071 | 2019-01-03 |
| 1245760479 | Angela Rebecca Mcelmuray Dundee | Counselor | Augustine Dr #2, Winnebago, NE 68071 | 2017-06-20 |
| 1558717074 | Winnebago Tribe of Nebraska | Community/Behavioral Health | Augustine Dr. #2, Winnebago, NE 68071 | 2016-05-13 |
| 1801260526 | Winnebago Indian Health Service | Clinic/Center | Hwy 77 75, Winnebago, NE 68071 | 2015-11-18 |
| 1528440385 | All Directions Behavioral Health, Inc. | Counselor | 202 Osborne Street, Winnebago, NE 68071 | 2015-06-29 |
| 1518249846 | Alisha Shelton | Counselor | 225 South Bluff Street, Winnebago, NE 68071 | 2011-09-13 |
| 1457688046 | Marcia Lee Hovland | Counselor | Corner of Hwy 77 and 75, Winnebago, NE 68071 | 2009-11-03 |
| Find all providers in zip 68071 | ||||
| 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 |
| 1962048314 | Rabia Moukrad | Nurse Practitioner | 4951 Center St Ste 200, Omaha, NE 68106-3252 | 2019-11-20 |
| 1790327195 | Joseph A Anthone | Nurse Practitioner | 12728 Augusta Ave Fl 2, Omaha, NE 68144-3702 | 2019-10-17 |
| 1992353965 | Lisa Marie Bruha | Nurse Practitioner | 46725 809th Rd, Ord, NE 68862-5330 | 2019-09-03 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1063932028 | Laura Beth Boon | Nurse Practitioner | 989500 Nebraska Medical Ctr Fl Center5, Omaha, NE 68198-9500 | 2017-06-21 |
| 1578010955 | Jyllyan Christine Halldorson | Nurse Practitioner | 3814 S 186th Ave, Omaha, NE 68130-6029 | 2016-09-02 |
| 1528449741 | Kimberly Waters | Nurse Practitioner | 3733 Holmes Park Rd, Lincoln, NE 68506-4645 | 2015-06-12 |
| 1053700245 | Nadia Ann Mccann | Nurse Practitioner | 2820 E Us Highway 34, Grand Island, NE 68801-9734 | 2015-01-12 |
| 1841357076 | Kelli A L King | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101-6138 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
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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.