MR. BRET DEARDORFF (NPI# 1629296413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629296413 |
| Entity Type | Individual |
| Full Name | MR. BRET DEARDORFF |
| Credential | M.S. |
| Practice Address |
801 W Prospector Pl Box 94949 Lincoln NE 68522-1970 |
| Mailing Address |
5824 S 114th St Omaha NE 68137-3684 |
| Practice Telephone | 4024795002 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
801 W PROSPECTOR PL BOX 94949 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68522-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821009069 | State of Nebraska Dept of Admin Services | Pharmacy | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2006-08-11 |
| 1740889468 | Megan Elizabeth Brandt | Physician Assistant | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2020-10-23 |
| 1851904478 | Najeeb Shekaib | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-2299 | 2020-08-24 |
| 1972148948 | Scott Loder | Peer Specialist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-11-13 |
| 1083269567 | Dana Katherine Oneil | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-08-02 |
| 1104387851 | Erin Jane Dougherty | Physician Assistant | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-03-26 |
| 1871078501 | Andrew Corbin | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2018-09-27 |
| 1356704829 | Karlene Rose Greenleaf | Registered Nurse | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2016-04-01 |
| 1376944124 | Barry S Berumen | Nurse Practitioner | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2014-09-11 |
| 1598988396 | Courtney Ann Hodges | Recreation Therapist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356867535 | Claire Marie Retka | Speech-Language Pathologist | 2323 S Coddington Ave., Lincoln, NE 68522 | 2017-08-18 |
| 1558745851 | Joelle Marie Vogltance | Nurse Practitioner | 600 West E. Street, Lincoln, NE 68522 | 2015-07-16 |
| 1205264231 | Coddington Medical Family Practice | Clinic/Center | 1336 West A Street, Suite A, Lincoln, NE 68522 | 2013-10-30 |
| 1376686303 | Rajeev Chaturvedi | Psychiatry & Neurology | West Prospector Place & South Folsom Streets, Dhhs, Lincoln, NE 68522 | 2007-02-15 |
| 1982606703 | Louise Stanton Stone | Counselor | Folson & W Prospector Streets, Lincoln, NE 68522 | 2005-08-11 |
| 1619526894 | Resilient Mind Counseling | Clinic/Center | 2554 Sw 19th St, Lincoln, NE 68522 | 2019-09-10 |
| 1437688868 | Echo L Kopplin | Physician Assistant | 1336 W A St, Lincoln, NE 68522 | 2017-06-08 |
| 1043400807 | Developmental Services of Nebraska, Inc. | Community/Behavioral Health | 2610 W M Ct, Lincoln, NE 68522-1006 | 2007-07-27 |
| 1689044802 | Tiffany Eisenbraun | Counselor | 2610 W M Ct, Lincoln, NE 68522-1006 | 2015-09-30 |
| 1003987736 | Michele Yvonne Wilson | Counselor | 2210 W Laguna Rd, Lincoln, NE 68522-1153 | 2006-11-13 |
| Find all providers in zip 68522 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639391857 | Lori J Rasmussen | Recreation Therapist | 5845 Huntington Ave, Lincoln, NE 68507-2345 | 2007-05-03 |
| 1396866505 | Jennifer Lynne Hust | Recreation Therapist | 5010 Prince Rd Apt 2, Lincoln, NE 68516-3148 | 2007-04-03 |
| 1598988396 | Courtney Ann Hodges | Recreation Therapist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2007-04-10 |
| 1386765543 | Gayle Lynn Resh | Recreation Therapist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2007-04-03 |
| 1912028978 | Cameo Rogers | Recreation Therapist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653748 | Catherine Demasi | Recreation Therapist | 2304 S 135th Ave, Omaha, NE 68144-2421 | 2019-11-18 |
| 1528218401 | Yolanda Lynn Powers | Recreation Therapist | 2221 North Broadwell Ave, Grand Island, NE 68803 | 2008-09-26 |
| 1053442426 | Jerel Ann Geren | Recreation Therapist | 2300 W Capital Ave, Rm 109, Grand Island, NE 68803-2003 | 2007-03-08 |
Please comment or provide details below to improve the information on MR. BRET DEARDORFF.
| 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.