JESSICA PUGA (NPI# 1982205910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982205910 |
Entity Type | Individual |
Full Name | JESSICA PUGA |
Credential | MSW, PLMHP |
Practice Address |
5625 N 28th Ave Omaha NE 68111-1765 |
Mailing Address |
707 N 90th St Apt 310 Omaha NE 68114-2856 |
Practice Telephone | 5312991827 |
Mailing Telephone | 3082162104 |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | 11945 | Behavioral Health & Social Service Providers | |
N | 1041C0700X |
Social Worker Specialization: Clinical |
11945 | Behavioral Health & Social Service Providers | |
Y | 1041S0200X |
Social Worker Specialization: School |
11945 | NE | Behavioral Health & Social Service Providers |
Street Address |
5625 N 28TH AVE |
City | OMAHA |
State | NE |
Zip Code | 68111-1765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497238489 | Danielle Haas | Social Worker | 5625 N 28th Ave, Omaha, NE 68111-1765 | 2018-09-14 |
1144705757 | Rebecca Jones | Registered Nurse | 5625 N 28th Ave, Omaha, NE 68111-1765 | 2018-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
Find all providers in zip 68111 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164997011 | Erica Susan Bush | Social Worker | 4669 Poppleton Ave, Omaha, NE 68106-2045 | 2018-10-08 |
1750865101 | Leanna Christine Johnston | Social Worker | 2115 Burdette St, Omaha, NE 68110-2335 | 2018-09-21 |
1003390915 | Cari Kenney | Social Worker | 5618 N 14th Ave, Omaha, NE 68110-1134 | 2018-09-18 |
1497238489 | Danielle Haas | Social Worker | 5625 N 28th Ave, Omaha, NE 68111-1765 | 2018-09-14 |
1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
1679056956 | Rachel Evans | Social Worker | 2906 N 30th St, Omaha, NE 68111-3101 | 2018-09-12 |
1508349887 | Elizabeth Sechrest | Social Worker | 5101 S 17th St, Omaha, NE 68107-3047 | 2018-09-12 |
1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
1508069436 | Rushton Gunter | Social Worker | 2504 Meredith Ave, Omaha, NE 68111-2327 | 2007-06-07 |
1255932000 | Madison Davis | Social Worker | 5050 S 51st St, Omaha, NE 68117-1955 | 2020-11-06 |
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.