JENNIFER DAGGETT INC (NPI# 1417504549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417504549 |
| Entity Type | Organization |
| Organization Name | JENNIFER DAGGETT INC |
| Practice Address |
11840 Nicholas St Omaha NE 68154-4475 |
| Practice Telephone | 4022898990 |
| Practice Fax Number | 4022348750 |
| Mailing Telephone | 4022898990 |
| Mailing Fax Number | 4022348750 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | JENNIFER DAGGETT (OWNER & PROVIDER) |
| Authorized Official Telephone | 4022898990 |
| Authorized Official Credential | LIMHP, CMSW, LIS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NPI TYPE 1 | 1699782870 | 01 |
| Street Address |
11840 NICHOLAS ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255371886 | Nancy Krauter Willcockson | Psychologist | 11840 Nicholas St, Suite 200, Omaha, NE 68154-4475 | 2006-06-08 |
| 1477819563 | Steven D. Wegner, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 11840 Nicholas St, Suite 210, Omaha, NE 68154-4475 | 2012-04-03 |
| 1295809655 | Steven Dean Wegner | Dentist | 11840 Nicholas St, Suite 210, Omaha, NE 68154-4475 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337610 | Rubango International, LLC | Clinic/Center | 1905 Harney St Ste 714, Omaha, NE 68102-2314 | 2020-05-18 |
| 1417577990 | Barnes Counseling and Consulting LLC | Clinic/Center | 20170 D St, Omaha, NE 68130-5076 | 2020-04-24 |
| 1962932046 | Gonzalez Mental Health Therapy Services | Clinic/Center | 1941 S 42nd St Ste 416, Omaha, NE 68105-2945 | 2017-06-12 |
| 1851829170 | Krista Borgwardt Therapy, LLC | Clinic/Center | 3031 S 87th St Unit 2, Omaha, NE 68124-3042 | 2017-05-31 |
| 1962814202 | R M Counseling, LLC | Clinic/Center | 11909 Arbor St Ste F, Omaha, NE 68144-4418 | 2014-05-21 |
| 1700931995 | Geoffrey C. Anderson, Phd PC | Clinic/Center | 11929 Elm St, Suite 12, Omaha, NE 68144-4364 | 2007-01-25 |
| 1265591325 | Heartland Family Service | Clinic/Center | 7110 F Street, Omaha, NE 68117 | 2006-12-06 |
| 1881790681 | Better Living Counseling Services, Inc. | Clinic/Center | 7829 Chicago Plz, Omaha, NE 68114-3653 | 2006-09-16 |
| 1952413072 | Jewish Federation of Omaha, Inc. | Clinic/Center | 333 South 132nd Street, Omaha, NE 68154 | 2006-08-31 |
| 1063023232 | Journey Towards Healing, LLC | Clinic/Center | 5824 S 142nd St Ste B, Omaha, NE 68137-2872 | 2020-08-12 |
| Find all providers in OMAHA | ||||
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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.