MRS. MARY JANE GLADE (NPI# 1538354907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538354907 |
| Entity Type | Individual |
| Full Name | MRS. MARY JANE GLADE |
| Other Name | MRS. MARY JANE BECKER |
| Credential | APRN |
| Practice Address |
1101 S 70th St Suite 203 Lincoln NE 68510-4293 |
| Practice Telephone | 4024864000 |
| Practice Fax Number | 4024863528 |
| Mailing Telephone | 4024864000 |
| Mailing Fax Number | 4024863528 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
110857 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1101 S 70TH ST SUITE 203 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811950694 | Timothy J Dalton | Family Medicine | 1101 S 70th St, Suite 101, Lincoln, NE 68510-4293 | 2006-04-11 |
| 1821580358 | Andrew Michael Miller | Dentist | 1101 S 70th St, Lincoln, NE 68510-4293 | 2018-05-31 |
| 1093166357 | Drew B. Attanasio, D.d.s., P.C. | Dentist | 1101 S 70th St, Suite 201, Lincoln, NE 68510-4293 | 2016-06-28 |
| 1063863306 | Drew B Attanasio | Dentist | 1101 S 70th St, Suit 201, Lincoln, NE 68510-4293 | 2016-06-28 |
| 1578933586 | Gsr Enterprises Inc | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-10-02 |
| 1023488038 | Gsr Enterprises Inc | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-10-02 |
| 1104294404 | Gsr Enterprises Inc | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-09-03 |
| 1134597495 | Greg Rugh | Clinic/Center | 1101 S 70th St, Lincoln, NE 68510-4293 | 2015-09-03 |
| 1255696365 | Somnos Laboratories, Inc. | Durable Medical Equipment & Medical Supplies | 1101 S 70th St, Lincoln, NE 68510-4293 | 2012-07-05 |
| 1801100375 | Jerry W Tanner M.d., P.C. | Optometrist | 1101 S 70th St, Suite 200, Lincoln, NE 68510-4293 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1831708817 | Lillie Lueke | Nurse Practitioner | 1021 N 27th Street, Lincoln, NE 68503-1803 | 2020-07-27 |
| 1881202950 | Angela Marie Tuzson | Nurse Practitioner | 1336 W A St Ste A, Lincoln, NE 68522-1231 | 2020-07-15 |
| 1235755182 | Chanda Lynn Nunnenkamp | Nurse Practitioner | 5715 S 34th St # 400, Lincoln, NE 68516-6648 | 2020-06-17 |
| 1043861560 | Corinne Elizabeth Young | Nurse Practitioner | 3900 Pine Lake Rd # 5, Lincoln, NE 68516-5489 | 2019-09-25 |
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1184192346 | Melany Dawn Murray | Nurse Practitioner | 2510 S 40th St Ste 100, Lincoln, NE 68506-2408 | 2018-11-06 |
| 1154803765 | Amy Lynn Bokowski | Nurse Practitioner | 7430 Poplar Rd, Lincoln, NE 68506-4651 | 2018-08-30 |
| 1407333701 | Kara Alyse Walker | Nurse Practitioner | 3741 Faulkner Dr Apt 214, Lincoln, NE 68516-4755 | 2018-07-19 |
| Find all providers in LINCOLN | ||||
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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.