MAYA A MANJARREZ (NPI# 1558979682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558979682 |
| Entity Type | Individual |
| Full Name | MAYA A MANJARREZ |
| Credential | APRN |
| Practice Address |
4920 S 30th St Ste 103 Omaha NE 68107-1656 |
| Practice Telephone | 4027344110 |
| Practice Fax Number | 4027343990 |
| Mailing Telephone | 4027344110 |
| Mailing Fax Number | 4027343990 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
113216 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4920 S 30TH ST STE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184832016 | Adriana Maria Bustamante-conway | Counselor | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2007-05-21 |
| 1003427246 | Angela Salazar | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-08-12 |
| 1730798844 | Maria Cristina Ramirez | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-24 |
| 1598383093 | Maria Natalia Acosta Canchila | Counselor | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-10 |
| 1992320584 | Jessica P Johnson | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-06-10 |
| 1447887096 | Benjamin J Moore | Physician Assistant | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-03-24 |
| 1497389415 | Tania Arreguin | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-02-28 |
| 1457982134 | Rosa Najera | Social Worker | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-01-30 |
| 1154951895 | Cody Jacob Thorson | Physician Assistant | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-01-22 |
| 1396388526 | Glenda B Mckenna | Counselor | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2019-10-21 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049013 | Eileen Marie Dineen | Nurse Practitioner | 14161 Franklin St, Omaha, NE 68154-3865 | 2018-07-06 |
| 1760857916 | Jerry A Patry | Nurse Practitioner | 7710 Mercy Rd Ste 509, Omaha, NE 68124-2346 | 2015-12-13 |
| 1386989218 | Rachel Nicole Fortney | Nurse Practitioner | 985330 Nebraska Medical Ctr, Room 40114, Omaha, NE 68198-5330 | 2012-12-04 |
| 1649570250 | Sara Lynne Wolfson | Nurse Practitioner | 2104 S 110th St, Omaha, NE 68144-3115 | 2010-10-28 |
| 1114248069 | Mary Kay Gamble | Nurse Practitioner | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2010-06-15 |
| 1275689101 | Ginger Rogers | Nurse Practitioner | 13927 Monroe St, Omaha, NE 68137-4044 | 2007-01-25 |
| 1831670165 | Shelly Retikis | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-08-24 |
| 1891036091 | Michelle Rae Bottrell | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2013-03-13 |
| 1134403173 | Jean Meister | Nurse Practitioner | 11207 W Dodge Rd Ste 250, Omaha, NE 68154-2650 | 2011-10-10 |
| 1962635227 | Marcia K Merboth | Nurse Practitioner | 8710 Frederick St, Suite 100, Omaha, NE 68124 | 2009-09-02 |
| 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.