AMANDA J NELSON (NPI# 1265990303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265990303 |
| Entity Type | Individual |
| Full Name | AMANDA J NELSON |
| Other Name | AMANDA J GUM |
| Credential | CRNA |
| Practice Address |
8303 Dodge St Omaha NE 68114-4108 |
| Mailing Address |
7822 Davenport St Omaha NE 68114-3629 |
| Practice Telephone | 4023914855 |
| Practice Fax Number | 4023916818 |
| Mailing Telephone | 4023914855 |
| Mailing Fax Number | 4023916818 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 77853 | NE | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 101534 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959142 | Amanda Li Nelson | Nurse Practitioner | 367 Bay Ridge Pkwy # 1, Brooklyn, NY 11209-3177 | 2020-07-17 |
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1770018541 | Amanda Nelson | Speech-Language Pathologist | 305 Westin Ln, Chico, CA 95973-5832 | 2017-04-28 |
| 1841734662 | Amanda Nelson | Registered Nurse | 12960 Rosemary St, Thornton, CO 80602-8410 | 2016-12-13 |
| 1952765968 | Amanda Nelson | Specialist | 5191 S Grant St, Littleton, CO 80121-1008 | 2016-04-06 |
| 1821453986 | Amanda Nelson | Marriage & Family Therapist | 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 | 2015-12-16 |
| 1588036586 | Amanda Nelson | Nurse Practitioner | 6027 Walnut Grove Rd Ste 307, Memphis, TN 38120-2128 | 2015-10-29 |
| 1932509072 | Amanda Jo Nelson | Physician Assistant | 3516 Elm Ave Apt 408, Long Beach, CA 90807-3916 | 2014-08-26 |
| 1487925996 | Amanda Nelson | Dietitian, Registered | 2814 Miller Rd, Geneva, IL 60134-3996 | 2012-01-16 |
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| Street Address |
8303 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1538771381 | Krista Villarreal | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-21 |
| 1437769163 | Julie Juddi | Dietitian, Registered | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-06 |
| 1023631934 | Jaclyn E Kenney | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-26 |
| 1215558846 | Linda Yen Nong | Pharmacist | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-05 |
| 1194283226 | Haley R Mcmillin | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1336618578 | Emily Schlautman | Physician Assistant | 8303 Dodge St, Suite 225, Omaha, NE 68114-4108 | 2018-11-16 |
| 1134602105 | Michael Gurtler | Genetic Counselor, MS | 8303 Dodge St, Omaha, NE 68114-4108 | 2018-09-14 |
| 1295216539 | Katherine Christian Humphrey | Occupational Therapist | 8303 Dodge St, Omaha, NE 68114-4199 | 2018-08-24 |
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| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972997062 | Kellyn Nieland | Nurse Anesthetist, Certified Registered | 5913 N 166th Ct, Omaha, NE 68116-3715 | 2015-03-26 |
| 1376961706 | Jennifer Kjolhede | Nurse Anesthetist, Certified Registered | 15435 Douglas Cir, Omaha, NE 68154-2051 | 2014-04-02 |
| 1629205521 | Amy L Bierbaum | Nurse Anesthetist, Certified Registered | 988102 Nebraska Medical Cener, Omaha, NE 68198-0001 | 2009-06-18 |
| 1003051970 | Dorothy Valasek Adley | Nurse Anesthetist, Certified Registered | 8051 West Center Rd., Omaha, NE 68124 | 2008-12-08 |
| 1407010796 | Emily Joan Glaser | Nurse Anesthetist, Certified Registered | Unmc Department of Anesthesiology, 984455 Nebraska Medical Center, Omaha, NE 68198-4455 | 2008-07-15 |
| 1821110339 | Robert C. Wells | Nurse Anesthetist, Certified Registered | 714 Ridgewood Ave, Omaha, NE 68114-5360 | 2007-04-04 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1578635942 | James Franklin Sorrell II | Nurse Anesthetist, Certified Registered | University of Nebraska Medical Ctr, 600 South 42nd Street, Omaha, NE 68198-0001 | 2006-11-14 |
| 1518059393 | Marcia Ann Jensen | Nurse Anesthetist, Certified Registered | 8711 N 57th St, Omaha, NE 68152-1714 | 2006-09-29 |
| 1811001597 | Michele C. Gengler | Nurse Anesthetist, Certified Registered | 8303 Dodge Street, Omaha, NE 68114 | 2006-08-18 |
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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.