ALISHA FANGMEYER (NPI# 1568756609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568756609 |
| Entity Type | Individual |
| Full Name | ALISHA FANGMEYER |
| Credential | APRN |
| Practice Address |
525 E 11th St Superior NE 68978-1101 |
| Mailing Address |
Po Box 407 Superior NE 68978-0407 |
| Practice Telephone | 4028794781 |
| Practice Fax Number | 4028793365 |
| Mailing Telephone | 4028794781 |
| Mailing Fax Number | 4028793365 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1876 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
525 E 11TH ST |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1578540126 | Robert G Leibel | Family Medicine | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1295712842 | Julie A Theis | Family Medicine | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1831176486 | Jason G Hass | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1477530020 | Teresa B Frahm | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1154702611 | Kingswood Court Assisted Living, LLC | Assisted Living Facility | 1005 Idaho St, Superior, NE 68978-1103 | 2015-06-10 |
| 1477637619 | Brodstone Memorial Hospital | Home Health | 1050 Washington St, Superior, NE 68978-1149 | 2006-10-24 |
| 1144496589 | Positive Solutions, Inc | Social Worker | 1050 Washington St, Superior, NE 68978-1149 | 2008-05-06 |
| Find all providers in zip 68978 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311346 | Jasper Welter | Nurse Practitioner | 2300 S Rock Creek Pkwy Apt 29-204, Superior, CO 80027-4418 | 2020-06-21 |
| 1396263653 | Angela Kaye Joneson | Nurse Practitioner | Essentia Health St. Mary's-superior Clinic, 3500 Tower Avenue, Superior, WI 54880-5335 | 2017-09-06 |
| 1437451994 | Leslie S. L. Broad | Nurse Practitioner | 6 Sandpiper Pl, Superior, WI 54880-5390 | 2010-12-03 |
| 1821058421 | Karen Wyse Niedermier | Nurse Practitioner | 2202 E 2nd St Ste 377, Superior, WI 54880-3778 | 2006-03-27 |
| 1801872080 | Vicki Brady | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-5335 | 2005-12-19 |
| 1073598595 | Harma A Drenth | Nurse Practitioner | 3 Superior Dr Ste 100a, Superior, CO 80027-8653 | 2005-12-07 |
| 1609850866 | Carolyn Irene Roe | Nurse Practitioner | 2231 Catlin Ave, Superior, WI 54880-5137 | 2005-12-01 |
| 1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
| 1740694108 | Tina Walman | Nurse Practitioner | 2202 East 2nd Street, Suite 377, Superior, WI 54880-3709 | 2014-06-13 |
| 1316386998 | Kelly Kristine Parish-larson | Nurse Practitioner | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2013-06-18 |
| Find all providers in SUPERIOR | ||||
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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.