JYLLYAN CHRISTINE HALLDORSON (NPI# 1578010955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578010955 |
| Entity Type | Individual |
| Full Name | JYLLYAN CHRISTINE HALLDORSON |
| Credential | NP |
| Practice Address |
3814 S 186th Ave Omaha NE 68130-6029 |
| Practice Telephone | 4025784932 |
| Mailing Telephone | 4025784932 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
112096 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3814 S 186TH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-6029 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048314 | Rabia Moukrad | Nurse Practitioner | 4951 Center St Ste 200, Omaha, NE 68106-3252 | 2019-11-20 |
| 1790327195 | Joseph A Anthone | Nurse Practitioner | 12728 Augusta Ave Fl 2, Omaha, NE 68144-3702 | 2019-10-17 |
| 1063932028 | Laura Beth Boon | Nurse Practitioner | 989500 Nebraska Medical Ctr Fl Center5, Omaha, NE 68198-9500 | 2017-06-21 |
| 1053349142 | Kathleen Ann Popelka | Nurse Practitioner | Vamc (11ac), 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2006-06-29 |
| 1487636650 | Debra Crisalli Saure | Nurse Practitioner | 602 N. 20 Th Street, Suite 1034 Harper Center, Omaha, NE 68131 | 2005-11-15 |
| 1518566363 | Rhonna Lynn Mcintyre | Nurse Practitioner | 6818 Grover St Ste 200, Omaha, NE 68106-3632 | 2020-10-22 |
| 1487295580 | Michelle M Placek | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-10-01 |
| 1992346050 | Whitney R Hoskins | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-09-30 |
| 1467003608 | Kari J Pokorski | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-09-27 |
| 1477104230 | Mary M Watson | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-09-24 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on JYLLYAN CHRISTINE HALLDORSON.
| 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.