MICKI CARRAHER


Address: 804 22nd Ave, Kearney, NE 68845-2206
Phone: 3084701278

MICKI CARRAHER (NPI# 1033685193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033685193
Entity Type Individual
Full Name MICKI CARRAHER
Practice Address 804 22nd Ave
Kearney
NE 68845-2206
Mailing Address 917 K St
Franklin
NE 68939-1416
Practice Telephone 3084701278
Enumeration Date 2018-10-16
Last Update Date 2018-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
N 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
41 NE Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 804 22ND AVE
City KEARNEY
State NE
Zip Code 68845-2206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023122272 Merlin J Wehling Anesthesiology 804 22nd Ave, Kearney, NE 68845-2234 2006-08-17
1407457211 Jennifer Lynn Pool Nurse Practitioner 804 22nd Ave, Kearney, NE 68845-2206 2020-11-06
1225684913 Rochelle Herrada Nurse Practitioner 804 22nd Ave, Kearney, NE 68845-2206 2019-08-17
1881256113 Shannon Linton Nurse Practitioner 804 22nd Ave, Kearney, NE 68845-2206 2019-07-08
1497314470 Matthew Albert Wecker Nurse Anesthetist, Certified Registered 804 22nd Ave, Kearney, NE 68845-2206 2019-06-12
1447710942 Dynae Chere' Pofahl Nurse Practitioner 804 22nd Ave, Kearney, NE 68845-2206 2019-03-21
1285107714 Kwang Hee Alexander Johng Nurse Anesthetist, Certified Registered 804 22nd Ave, Kearney, NE 68845-2206 2019-01-08
1760954986 Jamie Elizabeth Schmeits Registered Nurse 804 22nd Ave, Kearney, NE 68845-2206 2018-12-28
1003397605 Jessica Scoville Physician Assistant 804 22nd Ave, Kearney, NE 68845-2206 2018-08-22
1760973366 Chance Colton Buttars Nurse Anesthetist, Certified Registered 804 22nd Ave, Kearney, NE 68845-2206 2018-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407465966 Prairie Meadows Dental, PC Clinic/Center 1055 West 56th Street, Kearney, NE 68845 2020-07-30
1508408584 Sandhills Oral & Facial Surgery LLC Clinic/Center 504 W 42nd Street, Kearney, NE 68845 2019-10-11
1699252395 Lindustries, LLC Clinic/Center 4107 7th Avenue, Kearney, NE 68845 2018-07-25
1154846764 Michele Ekberg Speech-Language Pathologist 76 Plaza Boulevard, Kearney, NE 68845 2017-08-04
1457721706 Lesa Clifford Speech-Language Pathologist 4125 Summitt Rd, Kearney, NE 68845 2015-09-30
1154703353 Andrew Michael Prososki Family Medicine 2403 West 47 Street Place, Kearney, NE 68845 2015-06-24
1710395561 Justin Rethorst Specialist/Technologist 2810 West 35th St, Kearney, NE 68845 2014-07-24
1265877567 Kearney Regional Medical Center LLC General Acute Care Hospital 804 22nd Avenue, Kearney, NE 68845 2013-05-01
1386906972 Terry L. Dunlop Counselor 2315 W. 39th St., Suite 109, Kearney, NE 68845 2012-06-11
1437431913 Sarah Winfield Thibault Counselor 3532 West Capital Ave, Grand Island, NE 68845 2011-09-12
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003397605 Jessica Scoville Physician Assistant 804 22nd Ave, Kearney, NE 68845-2206 2018-08-22
1942618160 Timothy Alford Physician Assistant 816 22nd Ave, Kearney, NE 68845 2014-07-31
1528236510 Jason Travis Fritzen Physician Assistant 2810 W 35th St, Kearney, NE 68845-2909 2008-02-13
1972680064 Jason Dan Barber Physician Assistant 3219 Central Ave, Suite 102, Kearney, NE 68847-2949 2006-11-01
1023059565 Bruce Lynn Kohtz Physician Assistant 2810 W 35th St, Kearney, NE 68845-2909 2006-06-08
1205873171 Joseph L Verzal Physician Assistant 2810 W 35th St, Kearney, NE 68845-2909 2006-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063733988 Seth Lauterbach Physician Assistant 1017 Grove Avenue, Crete, NE 68333 2010-06-15
1518031194 Peter W Hunt Physician Assistant Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 2006-11-17
1285643189 Charles E Scholtes Physician Assistant 8207 Northwoods Drive, Lincoln, NE 68505-2093 2006-08-07
1447237284 Todd Allen Sorensen Physician Assistant 2222 S 16th St Medical Tower B, Ste 305, Lincoln, NE 68502 2005-12-22
1609851005 Timothy J Yrastorza Physician Assistant 4740 A St, Suite 100, Lincoln, NE 68510-4824 2005-12-08
1972597466 Joseph D Blankenship Physician Assistant 3011 Avenue B, Scottsbluff, NE 69361-4372 2005-09-09
1972596435 Hyla Rosmary Robbins Physician Assistant 55mdg 2501 Capehart Rd., Offutt Afb, NE 68113-2160 2005-08-30
1457354789 Jennifer Chavez Physician Assistant 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 2005-05-31
1225031776 Jason R Hadenfeldt Physician Assistant 620 N Diers Ave Ste 200, Grand Island, NE 68803-4985 2005-05-28
1184224537 Ashton N Groves Physician Assistant 8200 Dodge St, Omaha, NE 68114-4113 2020-10-27
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Competitor

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City KEARNEY
Zip Code 68845

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Dataset Information

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.

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