ALEGENT CREIGHTON HEALTH (NPI# 1043643547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043643547 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON HEALTH |
| Other Organization Name | ALEGENT CREIGHTON HEALTH PHD/MSW SERVICES |
| Practice Address |
6901 N 72nd St Omaha NE 68122-1709 |
| Mailing Address |
Po Box 642117 Omaha NE 68164-8117 |
| Practice Telephone | 4025722919 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | RICHARD A HACHTEN II (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4023434343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Alegent Creighton Health PhD/MSW Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293744 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 | 2019-03-04 |
| 1104251628 | Alegent Creighton Health | Radiology | 17201 Wright St Ste 100, Omaha, NE 68130-2042 | 2013-09-04 |
| 1952660615 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 8248 S 96th St Ste 101, La Vista, NE 68128-3126 | 2012-05-15 |
| 1427317205 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 | 2012-05-14 |
| 1164553954 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 17201 Wright St, Suite 202, Omaha, NE 68130-2042 | 2007-03-07 |
| 1033288923 | Alegent Creighton Health | Dietitian, Registered | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2006-11-07 |
| 1083700959 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235 | 2006-10-05 |
| 1760578652 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 | 2006-10-05 |
| 1508213810 | Alegent Creighton Health | Clinic/Center | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-05-17 |
| 1376910448 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 4220 L St, Omaha, NE 68107-1048 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON HEALTH | 7261 Mercy Rd, Omaha, NE 68124-2311 |
| Washington State Corporations | ALEGENT CREIGHTON HEALTH | 12809 W Dodge Rd, Omaha, NE 68154 |
| Street Address |
6901 N 72ND ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641686 | Paul L. Price | Pharmacist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2005-06-30 |
| 1205436896 | Jennifer S Bostick | Counselor | 6901 N 72nd St, Omaha, NE 68122-1709 | 2020-11-01 |
| 1861028847 | Ryan Pirraglia | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2020-03-21 |
| 1417507260 | Stacey M Samuel | Physician Assistant | 6901 N 72nd St, Omaha, NE 68122-1709 | 2019-09-13 |
| 1861041238 | Jonathan Robbins | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2019-09-09 |
| 1114408531 | Nicole M Anthony | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2018-08-23 |
| 1144746322 | Nicole M Privitera | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2017-08-18 |
| 1588196299 | Felina Brown | Nurse Practitioner | 6901 N 72nd St, Attn: Hospital Medicine Dept., Omaha, NE 68122-1709 | 2017-03-31 |
| 1851846380 | Jacqueline Jaramillo | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2016-08-25 |
| 1942755954 | Date Amouzou | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001925 | Katrina M Cordts | Psychologist | 110 N. 175th St. Ste 2000, Omaha, NE 68118-3515 | 2019-09-08 |
| 1780245126 | Lindy M Fields | Psychologist | 4242 Farnam St Ste 247, Omaha, NE 68131-0003 | 2019-06-26 |
| 1275095416 | Arthur Robert Andrews IIi | Psychologist | 2412 Cuming St Ste 103, Omaha, NE 68131-1602 | 2019-04-05 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1477922318 | Omaha Insomnia and Psychiatric Services, LLC | Psychologist | 13917 Gold Cir, Omaha, NE 68144-2359 | 2015-09-22 |
| 1821437443 | Stacey Lynn Delanoit | Psychologist | 11414 W Center Rd Ste 300, Omaha, NE 68144-4420 | 2013-06-17 |
| 1649523085 | Jennifer Anne Yalof | Psychologist | 42 Nd Dewey, Omaha, NE 68198-1023 | 2012-10-23 |
| 1609126960 | Heather L Jacobson | Psychologist | 4801 Underwood Ave Apt 1, Omaha, NE 68132-2439 | 2012-09-13 |
| 1245586023 | Michelle Rose Woidneck Kieffe | Psychologist | 11905 Arbor St., Omaha, NE 68144-2970 | 2012-07-30 |
| 1639486343 | Charles Drew Health Center, Inc | Psychologist | 3720 Florence Blvd, Omaha, NE 68110-1737 | 2010-09-02 |
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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.