ROBERTA KROEGER (NPI# 1396819090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396819090 |
| Entity Type | Individual |
| Full Name | ROBERTA KROEGER |
| Credential | APRN |
| Practice Address |
3540 Village Dr Ste 100 Lincoln NE 68516-4706 |
| Practice Telephone | 4024207113 |
| Practice Fax Number | 4023288314 |
| Mailing Telephone | 4024207113 |
| Mailing Fax Number | 4023288314 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
110142 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3540 VILLAGE DR STE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412641 | Julie Marie Wiekamp | Physician Assistant | 3540 Village Dr Ste 100, Lincoln, NE 68516-4706 | 2006-05-11 |
| 1801367909 | Cheney Ridge Family Medical Clinic, PC | Family Medicine | 3540 Village Dr Ste 100, Lincoln, NE 68516-4706 | 2018-12-16 |
| 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 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 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 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1831708817 | Lillie Lueke | Nurse Practitioner | 1021 N 27th Street, Lincoln, NE 68503-1803 | 2020-07-27 |
| 1881202950 | Angela Marie Tuzson | Nurse Practitioner | 1336 W A St Ste A, Lincoln, NE 68522-1231 | 2020-07-15 |
| 1235755182 | Chanda Lynn Nunnenkamp | Nurse Practitioner | 5715 S 34th St # 400, Lincoln, NE 68516-6648 | 2020-06-17 |
| 1043861560 | Corinne Elizabeth Young | Nurse Practitioner | 3900 Pine Lake Rd # 5, Lincoln, NE 68516-5489 | 2019-09-25 |
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1184192346 | Melany Dawn Murray | Nurse Practitioner | 2510 S 40th St Ste 100, Lincoln, NE 68506-2408 | 2018-11-06 |
| 1154803765 | Amy Lynn Bokowski | Nurse Practitioner | 7430 Poplar Rd, Lincoln, NE 68506-4651 | 2018-08-30 |
| 1407333701 | Kara Alyse Walker | Nurse Practitioner | 3741 Faulkner Dr Apt 214, Lincoln, NE 68516-4755 | 2018-07-19 |
| 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.