MRS. NICOLE LYNNE PETESON (NPI# 1699942516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699942516 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE LYNNE PETESON |
| Credential | LCSW |
| Practice Address |
2702 W 11th St Kearney NE 68845-0102 |
| Practice Telephone | 3086988060 |
| Mailing Telephone | 3086988060 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P-687 | NE | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
8087 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6520 | NE | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
2702 W 11TH ST |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-0102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997167 | Brian James Haas | Specialist/Technologist | 2702 W 11th St, Kearney, NE 68845-0102 | 2019-02-05 |
| 1265932339 | Shanna Gillming | Registered Nurse | 2702 W 11th St, Kearney, NE 68845-0102 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570524 | Patricia S Bennett | Social Worker | 4611 N Ave, Kearney, NE 68847-8160 | 2020-05-22 |
| 1427698174 | Lori Mccollough | Social Worker | 310 W 24th St, Kearney, NE 68845-5331 | 2020-01-10 |
| 1598224990 | Jessica Lynn Walters | Social Worker | 915 W 35th St, Kearney, NE 68845-8017 | 2019-03-15 |
| 1396204756 | Jessica Leigh Grasz | Social Worker | 300 W 24th St, Kearney, NE 68845-5345 | 2019-03-15 |
| 1821556903 | Jaylynn Star Graham | Social Worker | 1611 C Ave, Kearney, NE 68847-6142 | 2019-03-07 |
| 1245798495 | Lori Mcarthur | Social Worker | 320 W 24th St, Kearney, NE 68845-5331 | 2019-03-06 |
| 1336607704 | Tara Hiatt | Social Worker | 320 W 24th St, Kearney, NE 68845-5331 | 2019-03-05 |
| 1619461878 | Morgan Bird | Social Worker | 320 W 24th St, Kearney, NE 68845-5331 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1902446024 | Patrice Mcshane-jewell | Social Worker | 1100 S 48th St, Lincoln, NE 68510-4812 | 2020-01-07 |
| 1164997011 | Erica Susan Bush | Social Worker | 4669 Poppleton Ave, Omaha, NE 68106-2045 | 2018-10-08 |
| 1750865101 | Leanna Christine Johnston | Social Worker | 2115 Burdette St, Omaha, NE 68110-2335 | 2018-09-21 |
| 1003390915 | Cari Kenney | Social Worker | 5618 N 14th Ave, Omaha, NE 68110-1134 | 2018-09-18 |
| 1497238489 | Danielle Haas | Social Worker | 5625 N 28th Ave, Omaha, NE 68111-1765 | 2018-09-14 |
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1679056956 | Rachel Evans | Social Worker | 2906 N 30th St, Omaha, NE 68111-3101 | 2018-09-12 |
| 1508349887 | Elizabeth Sechrest | Social Worker | 5101 S 17th St, Omaha, NE 68107-3047 | 2018-09-12 |
| 1376026245 | Abby Jo Bjornsen | Social Worker | 5300 George B Lake Pkwy, Elkhorn, NE 68022-6483 | 2018-09-07 |
| Find all providers with the same taxonomy | ||||
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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.