KENNETH BRADLEY LUEDKE (NPI# 1346777562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346777562 |
Entity Type | Individual |
Full Name | KENNETH BRADLEY LUEDKE |
Credential | PLADC |
Practice Address |
4706 South 48th St Lincoln NE 68516 |
Mailing Address |
331 Indian Rd Lincoln NE 68505 |
Practice Telephone | 4024899792 |
Practice Fax Number | 4024899793 |
Mailing Telephone | 4023184693 |
Enumeration Date | 2017-05-18 |
Last Update Date | 2017-05-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P-1492 | NE | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NE | Behavioral Health & Social Service Providers |
Street Address |
4706 SOUTH 48TH ST |
City | LINCOLN |
State | NE |
Zip Code | 68516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
1265878870 | Patrick Sands | Case Manager/Care Coordinator | 2935 Pine Lake Rd., Suite F, Lincoln, NE 68516 | 2013-05-22 |
Find all providers in zip 68516 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497352579 | Kendra Bishop | Counselor | 2109 S 24th St, Lincoln, NE 68502-4002 | 2020-10-02 |
1992320980 | Eric Johnson LLC | Counselor | 301 S 70th St Ste 313, Lincoln, NE 68510-2469 | 2020-06-15 |
1730712977 | Justin Michael Antons | Counselor | 127 S 37th St Ste B, Lincoln, NE 68510-1502 | 2020-02-17 |
1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
1285285379 | Victoria Brock | Counselor | 5351 Colby St, Lincoln, NE 68504-3044 | 2019-09-20 |
1912553199 | Christopher Wayne Jobman | Counselor | 2554 Sw 19th St, Lincoln, NE 68522-2455 | 2019-08-14 |
1942865399 | Jennifer Michelle Rokeby-mayeux | Counselor | 1231 North 38th Street, Lincoln, NE 68504 | 2019-05-01 |
1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
1568968048 | Gary Chalon Moon | Counselor | 385 Lilac Ln, Lincoln, CA 95648-8165 | 2018-04-03 |
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.