KELLI SUE DOLL (NPI# 1467853424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467853424 |
| Entity Type | Individual |
| Full Name | KELLI SUE DOLL |
| Other Name | KELLI SUE THIESEN |
| Credential | APRN |
| Practice Address |
16901 Lakeside Hills Ct Omaha NE 68130-2318 |
| Practice Telephone | 8555244001 |
| Practice Fax Number | 4027177340 |
| Mailing Telephone | 8555244001 |
| Mailing Fax Number | 4027177340 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 111712 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A138823 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
111712 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16901 LAKESIDE HILLS CT |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916600 | New Century Physicians of Nebraska LLC | Emergency Medicine | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2005-07-18 |
| 1629600630 | Zachary Allen Labs | Physician Assistant | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2020-02-07 |
| 1922564350 | Sarah E Steffes | Physician Assistant | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2019-02-11 |
| 1306301254 | Melanie M Fehringer | Physician Assistant | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2019-02-05 |
| 1144746363 | Kassie A Lueth | Nurse Practitioner | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2017-08-18 |
| 1861932527 | Kathrine Bosch | Registered Nurse | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2017-02-28 |
| 1104285865 | Mary Hall | Physician Assistant | 16901 Lakeside Hills Ct, Attn: Hospital Medicine, Omaha, NE 68130-2318 | 2016-02-23 |
| 1508222183 | Emi M Spivey | Nurse Practitioner | 16901 Lakeside Hills Ct, Attn: Hospital Medicine Dept., Omaha, NE 68130-2318 | 2016-01-12 |
| 1780091298 | Rachel Marie Fall | Specialist/Technologist | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2014-07-16 |
| 1568873206 | Melissa G Bakker | Nurse Anesthetist, Certified Registered | 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1720697303 | Acacia Schulte-garcia | Nurse Practitioner | 5630 N 116th Cir, Omaha, NE 68164-1427 | 2020-07-29 |
| 1336775857 | Christina Lee Hoy | Nurse Practitioner | 986805 Nebraska Medical Ctr, Omaha, NE 68198-6805 | 2020-03-16 |
| 1144852666 | Margaret Messersmith | Nurse Practitioner | S 42nd & Emile St, Omaha, NE 68198-0001 | 2020-02-12 |
| 1881237766 | Ashlie Renae Zima | Nurse Practitioner | 16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 | 2019-10-23 |
| 1659920775 | Simone Yamdaare Redboy | Nurse Practitioner | 11348 Taylor St, Omaha, NE 68164-2341 | 2019-09-11 |
| 1316592629 | Megan Nicole Mertz | Nurse Practitioner | 1624 S 153rd St, Omaha, NE 68144-5145 | 2019-08-04 |
| 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.