MRS. MARY KAY GAMBLE (NPI# 1114248069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114248069 |
| Entity Type | Individual |
| Full Name | MRS. MARY KAY GAMBLE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5755 Sorensen Pkwy Omaha NE 68152-2370 |
| Mailing Address |
15814 Curtis Ave Omaha NE 68116-4044 |
| Practice Telephone | 4029910330 |
| Mailing Telephone | 3037667600 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
184115 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5755 SORENSEN PKWY |
| City | OMAHA |
| State | NE |
| Zip Code | 68152-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144778424 | Samantha Rambo | Nurse Practitioner | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2016-09-15 |
| 1659738672 | Cheryl Frickel | Occupational Therapist | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2016-01-21 |
| 1447663059 | Jennifer Ramey | Nurse Practitioner | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811392889 | Molly Motsinger | Physical Therapy Assistant | 6020 Country Club Oaks Place, Omaha, NE 68152 | 2014-11-03 |
| 1043625023 | Joseph Kent | Psychiatry & Neurology | 7101 Newport Ave Dept Of, Omaha, NE 68152 | 2014-06-27 |
| 1043588924 | Generation Hope Family Counseling & Consulting | Counselor | 6677 Sorensen Parkway, Omaha, NE 68152 | 2011-12-07 |
| 1144534736 | Stefany Bowden | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2010-08-05 |
| 1255783742 | Horseplay Acres Therapy Services | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2016-07-07 |
| 1588006993 | Jessica M Vandercoy | Counselor | 5605 Northern Hills Dr, Omaha, NE 68152-1192 | 2013-07-26 |
| 1699947853 | Erika Lee | Physical Therapist | 6533 Country Squire Ln, Omaha, NE 68152-1411 | 2008-03-27 |
| 1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
| 1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
| 1437640760 | Tonya M Goodwin-daly | Counselor | 9910 N 48th St Ste 111, Omaha, NE 68152-1548 | 2018-05-22 |
| Find all providers in zip 68152 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049013 | Eileen Marie Dineen | Nurse Practitioner | 14161 Franklin St, Omaha, NE 68154-3865 | 2018-07-06 |
| 1760857916 | Jerry A Patry | Nurse Practitioner | 7710 Mercy Rd Ste 509, Omaha, NE 68124-2346 | 2015-12-13 |
| 1386989218 | Rachel Nicole Fortney | Nurse Practitioner | 985330 Nebraska Medical Ctr, Room 40114, Omaha, NE 68198-5330 | 2012-12-04 |
| 1649570250 | Sara Lynne Wolfson | Nurse Practitioner | 2104 S 110th St, Omaha, NE 68144-3115 | 2010-10-28 |
| 1275689101 | Ginger Rogers | Nurse Practitioner | 13927 Monroe St, Omaha, NE 68137-4044 | 2007-01-25 |
| 1558979682 | Maya A Manjarrez | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-15 |
| 1831670165 | Shelly Retikis | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-08-24 |
| 1891036091 | Michelle Rae Bottrell | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2013-03-13 |
| 1134403173 | Jean Meister | Nurse Practitioner | 11207 W Dodge Rd Ste 250, Omaha, NE 68154-2650 | 2011-10-10 |
| 1962635227 | Marcia K Merboth | Nurse Practitioner | 8710 Frederick St, Suite 100, Omaha, NE 68124 | 2009-09-02 |
| Find all providers in OMAHA | ||||
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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.