FAYLENE RAE DANCER (NPI# 1699780007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699780007 |
Entity Type | Individual |
Full Name | FAYLENE RAE DANCER |
Credential | APRN |
Practice Address |
333 N Maple, Suite 105 Sutherland NE 69165 |
Practice Telephone | 3083864799 |
Practice Fax Number | 3083864343 |
Mailing Telephone | 3083864799 |
Mailing Fax Number | 3083864343 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2016-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
110778 | NE | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 47-082269513 | 05 |
Street Address |
333 N MAPLE, SUITE 105 |
City | SUTHERLAND |
State | NE |
Zip Code | 69165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487977351 | Melissa Marie Johnson | Occupational Therapist | 333 Maple St., Sutherland, NE 69165 | 2010-03-08 |
1851305247 | Brian J Vineyard | Dentist | 333 Maple Street, Sutherland, NE 69165 | 2006-07-28 |
1962560789 | Village of Sutherland | Ambulance | 150 Maple Street, Sutherland, NE 69165-0277 | 2006-12-05 |
1386935690 | Patricia Michele Davis | Registered Nurse | 741 Walnut Street, Sutherland, NE 69165-0724 | 2011-04-21 |
1801187356 | Family First Health Center PC | Family Medicine | 333 Maple St Ste 105, Sutherland, NE 69165-3000 | 2011-05-02 |
1639125032 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 333 Maple St, Sutherland, NE 69165-3000 | 2006-05-26 |
1871154286 | Bcp Sutherland, LLC | Skilled Nursing Facility | 333 Maple St, Sutherland, NE 69165-3000 | 2019-06-26 |
1053792101 | Karen M. Bush | Speech-Language Pathologist | 333 Maple St, Rehab, Sutherland, NE 69165-3000 | 2015-06-15 |
1700274271 | Brian J. Vineyard, D.d.s., P.C. | Dentist | 333 Maple St, Sutherland, NE 69165-3000 | 2015-01-06 |
1013320852 | Winsome Backer | Occupational Therapy Assistant | 333 Maple St, Sutherland, NE 69165-3000 | 2014-06-10 |
Find all providers in zip 69165 |
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 |
1154929230 | Chelsea Lynae Jones | Nurse Practitioner | 75 Highway 77, Winnebago, NE 68071-5001 | 2020-10-12 |
1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
1255944930 | Taylor Marjorie Feilmeier | Nurse Practitioner | 56338 881 Rd, Hartington, NE 68739-4021 | 2020-08-24 |
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 |
1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
Find all providers with the same taxonomy |
City | SUTHERLAND |
Zip Code | 69165 |
Please comment or provide details below to improve the information on FAYLENE RAE DANCER.
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.