IVY AUTUMN TODD


Address: 18809 Pinehurst Ave, Omaha, NE 68136-6490
Phone: 5712431548

IVY AUTUMN TODD (NPI# 1073112561) 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) 1073112561
Entity Type Individual
Full Name IVY AUTUMN TODD
Credential APRN
Practice Address 18809 Pinehurst Ave
Omaha
NE 68136-6490
Practice Telephone 5712431548
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
113373 NE Physician Assistants & Advanced Practice Nursing Providers

Other Providers IVY TODD

NPI Name Taxonomy Address Enumeration
1871914366 Ivy Todd Physician Assistant 401 Keisler Dr, Ste. 101, Cary, NC 27518-7084 2013-12-30

Office Location

Street Address 18809 PINEHURST AVE
City OMAHA
State NE
Zip Code 68136-6490

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992083752 Tara Kaye Hoffman Nurse Practitioner The Nebraska Medical Center Picu, 982145 Nebraska Medical Center, Omaha, NE 68198-2145 2011-07-28
1548590730 Anna Lanora Nolette Nurse Practitioner 985160 Nebraska Medical Ctr, Omaha, NE 68198-5160 2010-01-11
1093049116 Melissa Ann Schembari Nurse Practitioner 16811 Burke St Ste 101, Omaha, NE 68118-2253 2009-09-22
1669492898 Jacqueline R Hanks Nurse Practitioner 982168 Nebraska Medical Ctr, Omaha, NE 68198-2168 2006-07-20
1962056275 Stefanie L Kammrad Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2019-07-25
1407409394 Cassandra M Van Pelt Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2019-07-19
1437710043 Children's Physicians Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2019-06-25
1417425968 Lea Renee Barajas-deloa Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2018-11-02
1548748320 Cassandra L Kilpatrick Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2018-08-02
1689152613 Kristina Mueller Nurse Practitioner 8200 Dodge St, Omaha, NE 68114-4113 2018-08-01
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Competitor

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City OMAHA
Zip Code 68136

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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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