DR. ANDREA AVILA (NPI# 1073900528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073900528 |
| Entity Type | Individual |
| Full Name | DR. ANDREA AVILA |
| Credential | JD, PHD |
| Practice Address |
4747 Pioneers Blvd Lincoln NE 68506-5313 |
| Mailing Address |
656 Juntura Way Se Salem OR 97302-3964 |
| Practice Telephone | 4028587774 |
| Mailing Telephone | 8322650241 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1027 | NE | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
1027 | NE | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3303 Orchard St, Apt. A, Lincoln, NE 685032045 | 8322650241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679913 | Andrea Isamar Avila | Nurse Practitioner | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2016-02-19 |
| 1083824429 | Andrea Yvette Avila | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2007-05-23 |
| Street Address |
4747 PIONEERS BLVD |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194128058 | Ellen Emanuel | Acupuncturist | 4747 Pioneers Blvd, Suite 700b, Lincoln, NE 68506-5313 | 2014-10-06 |
| 1134505696 | Derek Scholl | Chiropractor | 4747 Pioneers Blvd, Suite 600, Lincoln, NE 68506-5313 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018646 | Taralyn Marie Meskowsky | Psychologist | 1871 Garington Ln, Lincoln, CA 95648-7203 | 2019-08-14 |
| 1033600606 | Michael Alfred Raciti | Psychologist | 12 Wingate Rd, Lincoln, RI 02865-4721 | 2018-05-19 |
| 1396235503 | Eric A Harris | Psychologist | 138 Bedford Rd, Lincoln, MA 01773-2707 | 2018-05-14 |
| 1225535990 | Eckert Psychological Services | Psychologist | 8925 Foxtail Dr, Lincoln, NE 68526-9518 | 2018-04-10 |
| 1003331679 | Brigham S Scott | Psychologist | 1530 S 70th St Ste 102, Lincoln, NE 68506-1567 | 2017-08-04 |
| 1811441991 | Stanley R Carlock Ed D LLC | Psychologist | 1001 S 70th St Ste 107, Lincoln, NE 68510-7901 | 2016-08-06 |
| 1285005892 | Cameron White | Psychologist | 1617 Normandy Ct Ste 100, Lincoln, NE 68512-1474 | 2015-10-08 |
| 1366811432 | Amy L Chatelain PC | Psychologist | 2001 Pine Lake Rd, Ste 350, Lincoln, NE 68512-3651 | 2015-09-18 |
| 1841601119 | Cindy L. Nash, Ph.d., PC | Psychologist | 7120 S 29th St Ste 200, Lincoln, NE 68516-5802 | 2014-05-08 |
| 1538478789 | Myla Browne | Psychologist | Lincoln Regional Center Building 3, W. Prospector Place and Folsom St., Lincoln, NE 68509-4949 | 2010-10-05 |
| Find all providers in LINCOLN | ||||
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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.