ELIZABETH A JACOBSEN (NPI# 1720385131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720385131 |
| Entity Type | Individual |
| Full Name | ELIZABETH A JACOBSEN |
| Credential | PA-C |
| Practice Address |
8111 Dodge St Suite 363 Omaha NE 68114-4129 |
| Practice Telephone | 4023548155 |
| Practice Fax Number | 4023548159 |
| Mailing Telephone | 4023548155 |
| Mailing Fax Number | 4023548159 |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2011-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1569 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716015 | Elizabeth Headley Jacobsen | Dentist | 1348 8th St Ne, Auburn, WA 98002-4556 | 2008-10-28 |
| 1801441597 | Elizabeth Jean Jacobsen | Nurse Practitioner | 5510 Summerhill Rd, Texarkana, TX 75503-1822 | 2019-08-08 |
| 1144735564 | Elizabeth M Jacobsen | Technician, Other | 11037 Warner Ave # 339, Fountain Valley, CA 92708-4007 | 2017-12-07 |
| 1518339381 | Elizabeth Marta Jacobsen | Marriage & Family Therapist | 1014 Main Street, Vancouver, WA 98660 | 2015-10-20 |
| 1023450145 | Elizabeth Marie Jacobsen | Podiatrist | 430 W 35th St, Davenport, IA 52806-5820 | 2013-07-18 |
| 1265772230 | Elizabeth A Jacobsen | Counselor | 500 E 9th St, Winner, SD 57580-2604 | 2013-02-27 |
| 1154408631 | Elizabeth Joan Jacobsen | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-11-01 |
| Street Address |
8111 DODGE ST SUITE 363 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191196 | Raymond M Crossman | Ophthalmology | 8111 Dodge St, Ste 143, Omaha, NE 68114-4100 | 2005-06-01 |
| 1811294515 | Stacey Anne Shinaut | Nurse Practitioner | 8111 Dodge St, Suite 363, Omaha, NE 68114-4129 | 2011-02-16 |
| 1831324813 | Omaha Travel Clinic, P.C. | Internal Medicine | 8111 Dodge St, Suite 363, Omaha, NE 68114-4129 | 2009-05-20 |
| 1346497757 | Courtney D Sullivan | Nurse Practitioner | 8111 Dodge St, Suite 363, Omaha, NE 68114-4129 | 2008-08-27 |
| 1659558781 | Rebecca C Mckenzie | Nurse Practitioner | 8111 Dodge St, Suite 363, Omaha, NE 68114-4129 | 2008-01-31 |
| 1285816785 | Cindy L Sedlak | Physician Assistant | 8111 Dodge St, Ste. 220, Omaha, NE 68114-4129 | 2007-11-27 |
| 1376754408 | Paul Kolkman | Surgery | 8111 Dodge St, Suite 263, Omaha, NE 68114-4129 | 2007-05-24 |
| 1669530630 | George William Dittrick | Emergency Medicine | 8111 Dodge St, Ste. 263, Omaha, NE 68114-4129 | 2006-12-04 |
| 1295847382 | Brad A Winterstein | Surgery | 8111 Dodge St, Suite 263, Omaha, NE 68114-4129 | 2006-08-31 |
| 1508976978 | Christina Prauner | Nurse Practitioner | 8111 Dodge St, Suite 332, Omaha, NE 68114-4129 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1700936978 | Christina M Jensen | Physician Assistant | 7710 Mercy Rd Ste 502, Omaha, NE 68124-2346 | 2007-01-11 |
| 1104984772 | Diana R Lundquist | Physician Assistant | 7815 Farnam Dr, Children's Home Healthcare's World, Omaha, NE 68114-4564 | 2006-12-05 |
| 1528153863 | Mary Patricia Byam-smith | Physician Assistant | 1620 S 198th Ave, Omaha, NE 68130 | 2006-10-03 |
| 1386651172 | Connie L Anderson | Physician Assistant | 105 N 31st Ave, Ste 102, Omaha, NE 68131-2940 | 2006-08-02 |
| 1194731869 | Margaret Alice Antley | Physician Assistant | 710 S 17th St, Omaha, NE 68102-3108 | 2006-08-01 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 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.