RENE ERVIN (NPI# 1841688066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841688066 |
| Entity Type | Individual |
| Full Name | RENE ERVIN |
| Practice Address |
8200 Dodge St Children's Hospital & Medical Center Omaha NE 68114-4113 |
| Practice Telephone | 4029556140 |
| Practice Fax Number | 4029553397 |
| Mailing Telephone | 4029555400 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
111764 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8200 DODGE ST CHILDREN'S HOSPITAL & MEDICAL CENTER |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899067 | Nadia Abraham | Pediatrics | 8200 Dodge St, Children's Hospital - Hospitalists, Omaha, NE 68114-4113 | 2005-05-23 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1295332674 | Megan Elizabeth Ruffcorn | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-08 |
| 1275141939 | Adam Theodore Woroniecki | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-20 |
| 1609484807 | Ryan Adam Smith | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-14 |
| 1881212405 | Jessica Koraleski | Audiologist-Hearing Aid Fitter | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-09 |
| 1639796279 | Regina A. Wagner | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-30 |
| 1841817863 | Julie L. Johnsen | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-26 |
| 1932723749 | Kelsey C Spackler | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-08 |
| 1942823943 | Hilary S. King | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-05-26 |
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| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112561 | Ivy Autumn Todd | Nurse Practitioner | 18809 Pinehurst Ave, Omaha, NE 68136-6490 | 2020-10-26 |
| 1992083752 | Tara Kaye Hoffman | Nurse Practitioner | The Nebraska Medical Center Picu, 982145 Nebraska Medical Center, Omaha, NE 68198-2145 | 2011-07-28 |
| 1548590730 | Anna Lanora Nolette | Nurse Practitioner | 985160 Nebraska Medical Ctr, Omaha, NE 68198-5160 | 2010-01-11 |
| 1093049116 | Melissa Ann Schembari | Nurse Practitioner | 16811 Burke St Ste 101, Omaha, NE 68118-2253 | 2009-09-22 |
| 1669492898 | Jacqueline R Hanks | Nurse Practitioner | 982168 Nebraska Medical Ctr, Omaha, NE 68198-2168 | 2006-07-20 |
| 1962056275 | Stefanie L Kammrad | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-07-25 |
| 1407409394 | Cassandra M Van Pelt | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-07-19 |
| 1437710043 | Children's Physicians | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-06-25 |
| 1417425968 | Lea Renee Barajas-deloa | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-11-02 |
| 1548748320 | Cassandra L Kilpatrick | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-08-02 |
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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.