JAYME BRISTOL (NPI# 1972144467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972144467 |
| Entity Type | Individual |
| Full Name | JAYME BRISTOL |
| Practice Address |
325 N Myers St Fremont NE 68025-4606 |
| Practice Telephone | 4027196655 |
| Mailing Telephone | 4027196655 |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2019-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112891 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11003341 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE | 112891 | 01 |
| FL | STATE | APRN11003341 | 01 |
| Street Address |
325 N MYERS ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145940 | Gloria E Follosco | Nurse Practitioner | 4425 Bidwell Dr Apt 5205, Fremont, CA 94538-2007 | 2020-05-14 |
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1730672973 | Linda Ni | Nurse Practitioner | 992 Sundance Dr, Fremont, CA 94539-6969 | 2018-06-12 |
| 1700395621 | Enna Chen | Nurse Practitioner | 1999 Mowry Ave Ste A, Fremont, CA 94538-1757 | 2017-09-22 |
| 1699156539 | Mary Ann Z De Vera | Nurse Practitioner | 2147 Mowry Ave Ste D4, Fremont, CA 94538-1724 | 2015-06-16 |
| 1780082230 | Manoj Saini | Nurse Practitioner | 1860 Mowry Avenue Suite 200, Fremont, CA 94538 | 2014-12-16 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1225326358 | Cherl Mues | Nurse Practitioner | 350 W 23rd St Ste G, Fremont, NE 68025-2592 | 2011-07-11 |
| 1396826947 | Diane Pelan-johnson | Nurse Practitioner | 750 E. 29th St., Fremont, NE 68025 | 2006-10-18 |
| 1962414235 | Brent John Miller | Nurse Practitioner | 212 S Sullivan, Fremont, MI 49412 | 2006-08-13 |
| Find all providers in FREMONT | ||||
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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.