PEDXM, PC (NPI# 1043726524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043726524 |
| Entity Type | Organization |
| Organization Name | PEDXM, PC |
| Other Organization Name | NEBRASKA HOME PEDIATRICS |
| Practice Address |
7125 South 199 Street Gretna NE 68028-6986 |
| Practice Telephone | 4026761145 |
| Mailing Telephone | 4026761145 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | ERIN E THOMAN (OWNER) |
| Authorized Official Telephone | 4026761145 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 111529 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Nebraska Home Pediatrics | Doing Business As Name - Organization |
| Street Address |
7125 SOUTH 199 STREET |
| City | GRETNA |
| State | NE |
| Zip Code | 68028-6986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407336258 | Julia Rose Smith | Speech-Language Pathologist | 700 South, Us-6, Gretna, NE 68028 | 2018-08-20 |
| 1093235012 | Harmony Rae Ames | Speech-Language Pathologist | 11705 S. 216th Street, Gretna, NE 68028 | 2017-06-21 |
| 1285003517 | Mari Monono | Speech-Language Pathologist | 11717 S. 216th St.2, Gretna, NE 68028 | 2015-09-16 |
| 1275967655 | Reichert Family Dentistry | Dentist | 11812 Standing Stone Drive, Gretna, NE 68028 | 2013-08-21 |
| 1124366851 | U-save Pharmacy Inc | Pharmacy | 611 N Highway 6, Gretna, NE 68028 | 2013-01-31 |
| 1225309115 | Gretna Volunteer Fire and Rescue Department | Ambulance | 11175 S. 204th St, Gretna, NE 68028 | 2012-01-24 |
| 1568781722 | Carrie Ann Mcgleinnaiss | Pharmacist | 11350 Wickersham Blvd, Wal-mart Pharmacy, Gretna, NE 68028 | 2010-05-26 |
| 1861657249 | Mosaic Inc | Day Training/Habilitation Specialist | 913 Village Square, Gretna, NE 68028 | 2008-07-24 |
| 1730224189 | Best In Vision | Eyewear Supplier (Equipment, not the service) | 11532 Willow Park Dr., Suite 500, Gretna, NE 68028 | 2007-02-21 |
| 1225173669 | Andria Nicole Louis | Optometrist | 11532 Willow Park Drive, Suite 500, Gretna, NE 68028 | 2007-02-21 |
| Find all providers in zip 68028 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609976224 | Heather A Othmer | Nurse Practitioner | 818 Village Sq, Gretna, NE 68028-7914 | 2006-09-24 |
| 1396842100 | Patricia J. Johnson | Nurse Practitioner | 102 W Highway 370, Gretna, NE 68028-4522 | 2006-09-20 |
| 1962516450 | Laura L Anderson | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2006-08-19 |
| 1285671610 | Donalyn M Deblanc | Nurse Practitioner | 441 Wall Blvd, Gretna, LA 70056-7723 | 2006-06-02 |
| 1750388674 | Kathy S. Worley | Nurse Practitioner | 213 Windy Rd, Gretna, VA 24557-4004 | 2005-07-07 |
| 1417476813 | Kassie Marie Gill | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2017-09-17 |
| 1487178992 | Andrea Huerta Davis | Nurse Practitioner | 1221 Amelia St, Gretna, LA 70053-5533 | 2017-07-27 |
| 1235596560 | Rina Kojima Rousek | Nurse Practitioner | 102 W Gruenther Rd, Gretna, NE 68028-4828 | 2016-01-18 |
| 1952787152 | Lexi Toft | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2015-08-11 |
| 1477985422 | Sharon Lynn Spina-phillips | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2013-08-01 |
| Find all providers in GRETNA | ||||
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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.