MOLLY PETERSEN (NPI# 1679987432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679987432 |
| Entity Type | Individual |
| Full Name | MOLLY PETERSEN |
| Credential | APRN |
| Practice Address |
17670 Welch Plz Ste 102 Omaha NE 68135-3805 |
| Mailing Address |
12077 Elmwood Dr. Bennington NE 68007 |
| Practice Telephone | 4024035222 |
| Practice Fax Number | 4024035233 |
| Mailing Telephone | (402) 332-7648 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 111672 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
111672 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
111672 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2255 S 132nd St Ste 200, Omaha, NE 681442573 | 4023341122 | 4023348171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508002403 | Molly Jo Petersen | Physical Therapy Assistant | 2420 Nw 115th Ave, Coral Springs, FL 33065-3422 | 2008-12-23 |
| 1164882833 | Molly Petersen | Counselor | 15208 Se Tibbetts St, Portland, OR 97236-2356 | 2016-02-24 |
| Street Address |
17670 WELCH PLZ STE 102 |
| City | OMAHA |
| State | NE |
| Zip Code | 68135-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838005 | Lotus Psychotherapy, LLC | Social Worker | 17670 Welch Plz Ste 102, Omaha, NE 68135-3805 | 2017-05-20 |
| 1871981530 | Elizabeth Gillaspie | Social Worker | 17670 Welch Plz Ste 102, Omaha, NE 68135-3805 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457690 | Vision Specialists On Harrison LLC | Optometrist | 6720 S 178th Street, Omaha, NE 68135 | 2020-11-04 |
| 1811550403 | Whole Life Counseling & Consulting, Inc. | Social Worker | 5819 S 160th St, Omaha, NE 68135 | 2019-04-18 |
| 1720589484 | Saint Wingo | Home Health Aide | 19269 Holmes St., Omaha, NE 68135 | 2018-02-27 |
| 1871915082 | Andrew J Hauptman | Chiropractor | 19060 Q Street, Suite 105, Omaha, NE 68135 | 2014-01-08 |
| 1144473539 | Jennifer Rose Engelmeyer | Dietitian, Registered | 17810 Welch Plaza, Omaha, NE 68135 | 2008-10-29 |
| 1992956262 | Christine Michelle Scalise | Speech-Language Pathologist | 5703 S 160th St, Omaha, NE 68135 | 2008-10-06 |
| 1689732869 | Eric R Hinze | Chiropractor | 6600 S 167th St, Omaha, NE 68135 | 2006-12-04 |
| 1629173828 | James Bryan Hohenstein II | Dentist | 17935 Welch Plaza, Suite 104, Omaha, NE 68135 | 2006-09-13 |
| 1205942125 | Rethwisch Family Chiropractic, P.C. | Chiropractor | 18010 R Plaza, Suite 104, Omaha, NE 68135 | 2006-08-22 |
| 1447264254 | Jeremiah Jon Rethwisch | Chiropractor | 18010 R Plz, Ste 104, Omaha, NE 68135 | 2006-07-28 |
| Find all providers in zip 68135 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724584 | Amberger LLC | Nurse Practitioner | 3610 N 163rd Plz Ste 207, Omaha, NE 68116-2164 | 2019-11-14 |
| 1871092353 | Janette Elaine Thomas Stallings | Nurse Practitioner | 706 N 129th St Ste 111, Omaha, NE 68154-6116 | 2018-02-09 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1871048959 | Refuge Mental Health Services, LLC | Nurse Practitioner | 8045 L St Ste 4, Omaha, NE 68127-1746 | 2016-08-18 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1245624402 | Angie Albert | Nurse Practitioner | 13214 Cottner St, Omaha, NE 68137-1777 | 2015-03-26 |
| 1427474824 | Megan B Sanders | Nurse Practitioner | Nebraska Medicine Department of Psychiatry, 985575 Nebraska Medical Center, Omaha, NE 68198-5575 | 2014-03-10 |
| 1932541588 | Kellie Berry-hert Aprn LLC | Nurse Practitioner | 2808 S 80th Ave Ste 110, Omaha, NE 68124-3253 | 2013-07-24 |
| 1922342195 | Encounter Telehealth, LLC | Nurse Practitioner | 900 S 74th Plz Ste 403, Omaha, NE 68114-4667 | 2012-11-12 |
| 1992051882 | Jessica Marie Bentzen | Nurse Practitioner | 706 N 129th St Ste 103, Omaha, NE 68154 | 2012-07-27 |
| 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.