ANDREW WAKIN (NPI# 1629515085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629515085 |
| Entity Type | Individual |
| Full Name | ANDREW WAKIN |
| Credential | APRN - FNP |
| Practice Address |
11704 W Center Rd Suite 103 A Omaha NE 68144-4375 |
| Practice Telephone | 4023340177 |
| Practice Fax Number | 4022814991 |
| Mailing Telephone | 4023340177 |
| Mailing Fax Number | 4022814991 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112005 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11704 W CENTER RD SUITE 103 A |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173770 | Peter Monaco Cimino | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-16 |
| 1922453984 | Claire E Hulett | Physical Therapy Assistant | 11704 W Center Rd, Suite #200, Omaha, NE 68144-4375 | 2016-04-27 |
| 1710038534 | Outpatient Surgical Specialties Center, LLC | Clinic/Center | 11704 W Center Rd, Suite 110, Omaha, NE 68144-4375 | 2007-01-16 |
| 1295816759 | Alegent Health Bergan Mercy Health Center | Clinic/Center | 11704 W Center Rd, Omaha, NE 68144-4375 | 2006-10-18 |
| 1447343405 | Thomas James Dobleman | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1699868596 | Ear Nose & Throat - Head and Neck Surgery P.C. | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1831206978 | Kevin P Reagan | Internal Medicine | 11704 W Center Rd, Suite 210, Omaha, NE 68144-4375 | 2006-08-24 |
| 1093759920 | Mary G Stroesser | Occupational Therapist | 11704 W Center Rd, Suite 200, Omaha, NE 68144-4375 | 2006-06-14 |
| 1780625475 | James J Sevcik | Physical Therapist | 11704 W Center Rd, Ste. 100, Omaha, NE 68144-4375 | 2006-06-10 |
| 1710934849 | Thomas J Persing | Specialist/Technologist, Other | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1720697303 | Acacia Schulte-garcia | Nurse Practitioner | 5630 N 116th Cir, Omaha, NE 68164-1427 | 2020-07-29 |
| 1336775857 | Christina Lee Hoy | Nurse Practitioner | 986805 Nebraska Medical Ctr, Omaha, NE 68198-6805 | 2020-03-16 |
| 1144852666 | Margaret Messersmith | Nurse Practitioner | S 42nd & Emile St, Omaha, NE 68198-0001 | 2020-02-12 |
| 1881237766 | Ashlie Renae Zima | Nurse Practitioner | 16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 | 2019-10-23 |
| 1659920775 | Simone Yamdaare Redboy | Nurse Practitioner | 11348 Taylor St, Omaha, NE 68164-2341 | 2019-09-11 |
| 1316592629 | Megan Nicole Mertz | Nurse Practitioner | 1624 S 153rd St, Omaha, NE 68144-5145 | 2019-08-04 |
| 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.