PONCA TRIBE OF NEBRASKA (NPI# 1740681832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740681832 |
| Entity Type | Organization |
| Organization Name | PONCA TRIBE OF NEBRASKA |
| Practice Address |
2602 J St Omaha NE 68107-1643 |
| Practice Telephone | 4027345275 |
| Practice Fax Number | 4027345708 |
| Mailing Telephone | 4027345275 |
| Mailing Fax Number | 4027345708 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | MS. KATHY M RIEB (CONTRACT SERVICE ADMINISTRATOR) |
| Authorized Official Telephone | 4027383175 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | LICENSED MEDICAL NUTRITION THERAPIST | 1155 | 01 |
| NE | COMMISSION ON DIETETIC REGISTRATION | 86004356 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598930117 | Ponca Tribe of Nebraska | Community/Behavioral Health | 1701 E St, Lincoln, NE 68508-3429 | 2008-04-24 |
| 1447434261 | Ponca Tribe of Nebraska | Community/Behavioral Health | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2007-12-28 |
| 1194244939 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2017-09-13 |
| 1013260561 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-10-22 |
| 1285987735 | Ponca Tribe of Nebraska | Clinic/Center | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-10-22 |
| 1760778385 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Fred Leroy Health and Wellness Center Pharmacy, Omaha, NE 68107-1643 | 2011-06-22 |
| 1295058733 | Ponca Tribe of Nebraska | Community/Behavioral Health | 2602 J St, Omaha, NE 68107-1643 | 2010-03-11 |
| 1356673040 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Omaha, NE 68107-1643 | 2010-02-04 |
| 1710172879 | Ponca Tribe of Nebraska | Case Management | 2602 J St, Omaha, NE 68107-1643 | 2007-09-12 |
| Street Address |
2602 J ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700871381 | Mary Margaret Murphy | Nurse Practitioner | 2602 J St, Omaha, NE 68107-1643 | 2005-09-20 |
| 1033739537 | Rachael M Bogacz | Counselor | 2602 J St, Omaha, NE 68107-1643 | 2020-04-24 |
| 1821632266 | Alison Jordan | Dietitian, Registered | 2602 J St, Omaha, NE 68107-1643 | 2019-10-29 |
| 1669964003 | Tayler Danyelle Fuller | Dentist | 2602 J St, Omaha, NE 68107-1643 | 2018-06-01 |
| 1205335502 | Lorri Lynne Mckean | Dental Hygienist | 2602 J St, Omaha, NE 68107-1643 | 2018-02-02 |
| 1326567660 | Maria Douthett | Nurse Practitioner | 2602 J St, Omaha, NE 68107-1643 | 2017-09-19 |
| 1194244939 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2017-09-13 |
| 1851772776 | Tracy Lautt | Dental Hygienist | 2602 J St, Omaha, NE 68107-1643 | 2015-06-16 |
| 1326441098 | Whitney Anne Arnold | Registered Nurse | 2602 J St, Omaha, NE 68107-1643 | 2014-10-08 |
| 1679974455 | Nicole Leigh Rezac | Dietitian, Registered | 2602 J St, Omaha, NE 68107-1643 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891321790 | Cawab Medical LLC | Clinic/Center | 18021 Oak St Ste B, Omaha, NE 68130-6035 | 2020-03-23 |
| 1184099004 | Family First Health Care, LLC | Clinic/Center | 5420 Nw Radial Hwy Ste A, Omaha, NE 68104-3592 | 2015-12-03 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1407012123 | Concentra Health Services, Inc. | Clinic/Center | 9602 M Street, Omaha, NE 68127 | 2008-08-01 |
| 1649455643 | Joshua Philip Havens | Clinic/Center | 804 S. 52nd, Omaha, NE 68106 | 2008-01-08 |
| 1609868967 | Kohlls Pharmacy & Homecare Inc | Clinic/Center | 12739 Q St, Omaha, NE 68137-3211 | 2005-08-22 |
| 1760921472 | Midwest Integrative Health | Clinic/Center | 4611 S 96th St, Suite 139, Omaha, NE 68127-1202 | 2017-02-14 |
| 1881048841 | North Omaha Area Health, Inc. | Clinic/Center | 5620 Ames Ave, Omaha, NE 68104-2702 | 2016-04-15 |
| 1538547815 | Chi Health Immanuel Rehabilitation Institute | Clinic/Center | 7101 Newport Ave, Omaha, NE 68152-2164 | 2015-05-07 |
| 1942433701 | Alegent Health Bergan Mercy Health System | Clinic/Center | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2009-08-27 |
| 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.