REBECCA J SIECKE (NPI# 1154599942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599942 |
| Entity Type | Individual |
| Full Name | REBECCA J SIECKE |
| Credential | PA |
| Practice Address |
8200 Dodge Street Children's Hospital - Cardiothoracic Surgery Omaha NE 68114-4113 |
| Mailing Address |
8200 Dodge Street Children's Hospital Omaha NE 68114-4113 |
| Practice Telephone | 4029554360 |
| Practice Fax Number | 4029554364 |
| Mailing Telephone | 4029555400 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2009-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1378 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8200 DODGE STREET CHILDREN'S HOSPITAL - CARDIOTHORACIC SURGERY |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959295 | Bonnie Jean Lees | Pediatrics | 8200 Dodge Street, Children's Hospital & Medicare Center, Omaha, NE 68114-4113 | 2005-08-18 |
| 1184145476 | Tyler Sutter | Physician Assistant | 8200 Dodge Street, Omaha, NE 68114-4113 | 2017-06-28 |
| 1174939540 | Salaheddin H. I. Elrokhsi | Pediatrics | 8200 Dodge Street, Pediatric Endocrinology Department, Omaha, NE 68114 | 2014-07-07 |
| 1962815720 | Brooke Jean Loutzenhiser | Nurse Practitioner | 8200 Dodge Street, Omaha, NE 68114 | 2014-06-09 |
| 1740570068 | Courtney Kiser Mclean | Pediatrics | 8200 Dodge Street, Neonatology, Omaha, NE 68114-4113 | 2011-04-08 |
| 1083924708 | Lindsay D Cassidy | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Cts, Omaha, NE 68114-4113 | 2010-10-15 |
| 1205163623 | Nppi - Anesthesiology | Anesthesiology | 8200 Dodge Street, Omaha, NE 68114-4113 | 2009-11-05 |
| 1902034572 | Susan Kay Penner | Physical Therapist | 8200 Dodge Street, Children's Hospital & Medical Center, Omaha, NE 68114-4113 | 2009-06-23 |
| 1366686552 | Laura E Routh | Physician Assistant | 8200 Dodge Street, Children's Hospital & Medical Center - Neurology, Omaha, NE 68114-4113 | 2009-05-01 |
| 1275777468 | Jennifer B Friend | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518031194 | Peter W Hunt | Physician Assistant | Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-17 |
| 1457354789 | Jennifer Chavez | Physician Assistant | 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 | 2005-05-31 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1336763879 | Makenzie Polacek | Physician Assistant | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2020-06-01 |
| 1508499054 | Samantha Schroeder | Physician Assistant | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2020-02-12 |
| 1487121034 | Kelli D Welch | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-10-31 |
| 1114405040 | Victoria M Alai | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-08-02 |
| 1891202131 | Kossi Mawouli Zotoglo | Physician Assistant | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-01-09 |
| 1710426549 | Jessica Cannon | Physician Assistant | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 | 2017-02-13 |
| 1952649162 | Samantha J. Korth | Physician Assistant | 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 | 2013-01-22 |
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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.