VERVE COLLABORATIVE HEALTH, LLC (NPI# 1114484334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114484334 |
| Entity Type | Organization |
| Organization Name | VERVE COLLABORATIVE HEALTH, LLC |
| Practice Address |
11422 Miracle Hills Dr Ste 401 Omaha NE 68154-4420 |
| Practice Telephone | 4028981113 |
| Mailing Telephone | 4028981113 |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2020-02-09 |
| Authorized Official Name | KISTI L BOSE (OWNER) |
| Authorized Official Telephone | 4029906528 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers | ||
| N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11422 MIRACLE HILLS DR STE 401 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1144849464 | Cari Ott | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154-4420 | 2020-04-16 |
| 1285291088 | Mark William Erickson | Counselor | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154-4420 | 2019-05-28 |
| 1023675410 | Anneliese E Schmidt | Counselor | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154-4420 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| 1366851032 | Carrie Arnold | Pharmacy Technician | 13360 California St, Omaha, NE 68154 | 2014-08-07 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724584 | Amberger LLC | Nurse Practitioner | 3610 N 163rd Plz Ste 207, Omaha, NE 68116-2164 | 2019-11-14 |
| 1871092353 | Janette Elaine Thomas Stallings | Nurse Practitioner | 706 N 129th St Ste 111, Omaha, NE 68154-6116 | 2018-02-09 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1871048959 | Refuge Mental Health Services, LLC | Nurse Practitioner | 8045 L St Ste 4, Omaha, NE 68127-1746 | 2016-08-18 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1245624402 | Angie Albert | Nurse Practitioner | 13214 Cottner St, Omaha, NE 68137-1777 | 2015-03-26 |
| 1427474824 | Megan B Sanders | Nurse Practitioner | Nebraska Medicine Department of Psychiatry, 985575 Nebraska Medical Center, Omaha, NE 68198-5575 | 2014-03-10 |
| 1932541588 | Kellie Berry-hert Aprn LLC | Nurse Practitioner | 2808 S 80th Ave Ste 110, Omaha, NE 68124-3253 | 2013-07-24 |
| 1922342195 | Encounter Telehealth, LLC | Nurse Practitioner | 900 S 74th Plz Ste 403, Omaha, NE 68114-4667 | 2012-11-12 |
| 1992051882 | Jessica Marie Bentzen | Nurse Practitioner | 706 N 129th St Ste 103, Omaha, NE 68154 | 2012-07-27 |
| 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.