MRS. ASHLEY MARCUCCIO (NPI# 1801281126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801281126 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY MARCUCCIO |
| Practice Address |
2221 S 17th St Ste 202 Lincoln NE 68502-3763 |
| Mailing Address |
2222 S 16th St Ste 400a Lincoln NE 68502-3785 |
| Practice Telephone | 4024838555 |
| Practice Fax Number | 4024838554 |
| Mailing Telephone | 4024838590 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2134 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 S 16th St Ste 400a, Lincoln, NE 685023785 | 4024838590 | |
| 3901 Rainbow Blvd, Mailstop 4015, Kansas City, KS 661608500 | 9135886400 |
| Street Address |
2221 S 17TH ST STE 202 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538203476 | Michelle A Petersen | Physician Assistant | 2221 S 17th St Ste 202, Lincoln, NE 68502 | 2007-02-16 |
| 1184181547 | Arianna Rose Shay | Physician Assistant | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2019-02-21 |
| 1609375005 | Chelsie Marie Sutton | Nurse Practitioner | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2018-02-12 |
| 1609374925 | Megan Elizabeth Foss | Physician Assistant | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2018-02-01 |
| 1538529193 | Kathryn Nelson | Nurse Practitioner | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2016-02-25 |
| 1649698523 | Ryan Thomas Santin | Psychiatry & Neurology | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2014-03-28 |
| 1306289665 | Matthew James Wittry | Psychiatry & Neurology | 2221 S 17th St Ste 202, Lincoln, NE 68502 | 2013-04-16 |
| 1912024399 | Christine Marie Demasi | Nurse Practitioner | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1508365776 | Karen Sloboda | Chiropractor | 3121 South 11th Street, Lincoln, NE 68502 | 2018-02-02 |
| 1417472762 | Nusp1, P.C. | Chiropractor | 3245 Pioneers Blvd, Lincoln, NE 68502 | 2017-08-08 |
| 1467976308 | Bryan Health Connect | Preferred Provider Organization | 2300 S 16th Street, Lincoln, NE 68502 | 2017-08-02 |
| 1235586348 | Justin Cook | Chiropractor | 3121 S. 11th St., Lincoln, NE 68502 | 2016-05-18 |
| 1316319924 | Cari Musgrove | Pharmacist | 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 | 2015-10-22 |
| 1164866976 | Trevor Gregath | Psychiatry & Neurology | 2222 S 16th St Ste 340, Lincoln, NE 68502 | 2013-04-23 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| Find all providers in zip 68502 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861511214 | Ginger L Manzo | Psychiatry & Neurology | 2 Wake Robin Rd Unit 206, Lincoln, RI 02865-4241 | 2007-03-28 |
| 1255456109 | Russell J Ricci | Psychiatry & Neurology | 16 Old Sudbury Rd, Lincoln, MA 01773-4808 | 2007-03-20 |
| 1396882916 | Jose Gary B Nadala | Psychiatry & Neurology | 2222 S 16th St, Ste 410, Lincoln, NE 68502-3785 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730306549 | Joan Daughton | Psychiatry & Neurology | 515 South 26th Street, Omaha, NE 68131 | 2007-04-20 |
| 1659492619 | Brian Daniel Lubberstedt | Psychiatry & Neurology | 9239 W Center Road, Suite 211, Omaha, NE 68124-1900 | 2007-04-03 |
| 1912026931 | Steven J. Ryan | Psychiatry & Neurology | 8124 S. 92nd Ave, La Vista, NE 68128-3203 | 2007-03-29 |
| 1417082058 | Howard Yee Liu | Psychiatry & Neurology | 985584 Nebraska Medical Ctr, Omaha, NE 68198-5584 | 2007-02-23 |
| 1447318258 | Early Interventions, LLC | Psychiatry & Neurology | 1401 Gold Coast Rd., Ste. 600, Papillion, NE 68046-5811 | 2006-12-05 |
| 1205904141 | Sheila M Forsman-bierman | Psychiatry & Neurology | 6715 S 180th St, Omaha, NE 68135-1883 | 2006-11-30 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1679676852 | Ann M Taylor | Psychiatry & Neurology | 2505 S 140th Cir, Omaha, NE 68144-2315 | 2006-09-06 |
| 1053414904 | Amanda J Cervantes | Psychiatry & Neurology | 1401 E Gold Coast Rd., Suite 600, Papillion, NE 68046-5811 | 2006-09-06 |
| 1215431556 | Amber Grob | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2018-03-21 |
| 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.