MELANIE JO HUBER (NPI# 1508310061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508310061 |
| Entity Type | Individual |
| Full Name | MELANIE JO HUBER |
| Other Name | MELANIE JO TWAIT |
| Practice Address |
4920 S 30th St Suite 103 Omaha NE 68107-1590 |
| Practice Telephone | 4027344110 |
| Mailing Telephone | 4027344110 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 76731 | NE | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112087 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4920 S 30TH ST SUITE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060777 | Beth Jeannine Hansen | Counselor | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2005-08-16 |
| 1174143374 | Thea Vita Gonzales Ramos | Pharmacist | 4920 S 30th St, Omaha, NE 68107-1590 | 2020-04-17 |
| 1750900908 | Breann Danielle Baker | Pharmacist | 4920 S 30th St, Omaha, NE 68107-1590 | 2020-04-08 |
| 1275072415 | Mark W Huber | Nurse Practitioner | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2017-02-21 |
| 1750820239 | Michelle L Hill | Physician Assistant | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2017-02-17 |
| 1376081596 | Dalia Nayeli Ruvalcaba Soria | Counselor | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2017-02-08 |
| 1346691086 | Patience N Riley | Counselor | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2016-06-23 |
| 1851742506 | Clara Jean Fynbu Eggert | Nurse Practitioner | 4920 S 30th St, Omaha, NE 68107-1590 | 2016-06-23 |
| 1366802076 | Roxanna Pimentel | Dental Hygienist | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2016-02-24 |
| 1447610159 | Stephanie Rose Brozek | Dental Hygienist | 4920 S 30th St, Suite 03, Omaha, NE 68107-1590 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| 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.