MS. KELLY LYNN THELEN (NPI# 1619071206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619071206 |
| Entity Type | Individual |
| Full Name | MS. KELLY LYNN THELEN |
| Credential | APRN |
| Practice Address |
3540 Village Dr Suite 100 Lincoln NE 68516-4706 |
| Mailing Address |
5930 S 58th St Suite A Lincoln NE 68516-6402 |
| Practice Telephone | 4024207113 |
| Practice Fax Number | 4023288314 |
| Mailing Telephone | 4024830431 |
| Mailing Fax Number | 4024839905 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 110335 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025777400 | 05 | |
| NE | BCBS | 37662 | 01 |
| NE | BCBS | 47381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053826206 | Kelly Marie Thelen | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2017-12-11 |
| 1841742731 | Kelly Thelen | Counselor | 57239 N Main St, Three Rivers, MI 49093-9419 | 2016-10-26 |
| Street Address |
3540 VILLAGE DR SUITE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330189 | Patrick J Bertolini | Family Medicine | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2006-05-10 |
| 1003044660 | Cheney Ridge Family Medical Clinic, PC | General Practice | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538699160 | Michelle Marie Hynek-thomas | Nurse Practitioner | 1842 Sw 38th St, Lincoln, NE 68522-9421 | 2017-06-15 |
| 1316488083 | Amanda Levey | Nurse Practitioner | 2730 Paintball Way, Lincoln, ND 58504-2503 | 2017-03-15 |
| 1841678497 | Candice Mae Fryda | Nurse Practitioner | 4747 Pioneers Blvd Ste 600, Lincoln, NE 68506-5332 | 2015-05-15 |
| 1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
| 1700151651 | Janice Cunningham | Nurse Practitioner | 3640 S 6th St, Suite 6, Lincoln, NE 68502-4316 | 2012-03-11 |
| 1134420177 | Donna Jean Lottman | Nurse Practitioner | 2510 Southview Cir, Lincoln, NE 68512-3667 | 2010-11-08 |
| 1093028805 | Athena C Piper | Nurse Practitioner | 110 N 66th St, Lincoln, NE 68505-2402 | 2010-07-21 |
| 1962739656 | Elizabeth K Mollard | Nurse Practitioner | 1500 S 48th St Ste 712, Lincoln, NE 68506-1281 | 2009-11-17 |
| 1699924878 | Kelli K Schreiner | Nurse Practitioner | 1500 South 48th St, Suite 800, Lincoln, NE 68506 | 2008-09-12 |
| 1457515710 | Christine Ruth Shkolnick | Nurse Practitioner | 1600 S. 48th St, Lincoln, NE 68506 | 2008-07-16 |
| 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.