NOEL C CAROSELLA (NPI# 1891998753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891998753 |
| Entity Type | Individual |
| Full Name | NOEL C CAROSELLA |
| Credential | PAC |
| Practice Address |
8248 S 96th St La Vista NE 68128-3126 |
| Mailing Address |
Po Box 642117 Omaha NE 68164-8117 |
| Practice Telephone | 4023986254 |
| Practice Fax Number | 4028298513 |
| Mailing Telephone | 4023986254 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1732 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1070 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8248 S 96TH ST |
| City | LA VISTA |
| State | NE |
| Zip Code | 68128-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898248 | Richard H Hurd | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2006-07-06 |
| 1356985758 | Abbie L Ketcham | Nurse Practitioner | 8248 S 96th St, La Vista, NE 68128-3126 | 2019-10-30 |
| 1427510395 | Katie Atkins | Pharmacist | 8248 S 96th St, La Vista, NE 68128-3126 | 2019-04-01 |
| 1457893158 | Kathryn E Huerter | Registered Nurse | 8248 S 96th St, La Vista, NE 68128-3126 | 2016-11-11 |
| 1689056681 | Jeffrey D Bruning | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2015-06-25 |
| 1053606871 | Kristin Marie Mcgregor | Pediatrics | 8248 S 96th St, La Vista, NE 68128-3126 | 2011-06-09 |
| 1871804401 | Brandi Ann Reeve-iverson | Pediatrics | 8248 S 96th St, La Vista, NE 68128-3126 | 2010-06-29 |
| 1790917854 | Angela Marie Gilfillan | Nurse Practitioner | 8248 S 96th St, La Vista, NE 68128 | 2009-08-21 |
| 1871783837 | Allison M Cullan | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2007-07-26 |
| 1760537997 | Daniel Hill | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589746 | Ruth Ann Moses | Prevention Professional | 7030 S 110th St, Omaha, NE 68128 | 2018-08-29 |
| 1972945897 | Jenna Leigh Graeve | Physical Therapist | 7040 S 114th St Plz Apt 203, La Vista, NE 68128 | 2013-07-19 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1730118233 | Donald R Krysl | Optometrist | 8102 S 84th St, Lavista, NE 68128 | 2006-06-30 |
| 1073030607 | September Leigh Wanzenried | Family Medicine | 6901 S 84th St, La Vista, NE 68128 | 2017-08-24 |
| 1518312719 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1245685445 | Costco Wholesale Corporation | Hearing Aid Equipment | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1386011971 | Kelsey Klatt | Occupational Therapist | 6960 S 110th St, La Vista, NE 68128 | 2015-08-31 |
| Find all providers in zip 68128 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457430357 | Melissa L Muhs | Physician Assistant | 8248 S 96th St, La Vista, NE 68128-3126 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1659901601 | Jordan Marie Morris | Physician Assistant | 821 Bordeaux St, Chadron, NE 69337-2614 | 2020-01-17 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
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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.