MS. JENNIFER CHAVEZ (NPI# 1457354789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457354789 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER CHAVEZ |
| Credential | PA-C |
| Practice Address |
9850 Nicholas St Ste 250 Omaha NE 68114-2186 |
| Practice Telephone | 4023999990 |
| Practice Fax Number | 4023931042 |
| Mailing Telephone | 4023999990 |
| Mailing Fax Number | 4023931042 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1136 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47081304012 | 05 | |
| NE | BCBS | 37833 | 01 |
| NE | RAILROAD MEDICARE | P00153597 | 01 |
| NE | TRICARE | 68154A016 | 01 |
| NE | 47073679913 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1174898241 | Jennifer Chavez | Physical Therapist | 10427 Crosscut Dr Nw, Albuquerque, NM 87114-5630 | 2012-03-21 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| 1346856283 | Jennifer Karen Chavez | Interpreter | 72 Ira Light St, Steilacoom, WA 98388-1639 | 2020-09-16 |
| 1821632803 | Jennifer Marie Chavez | Behavior Technician | 9012 Q St, Omaha, NE 68127-3549 | 2019-11-01 |
| 1518501972 | Jennifer Ann Chavez | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2019-10-29 |
| 1316504822 | Jennifer Chavez | Counselor | 5284 Adolfo Rd, Camarillo, CA 93012-6787 | 2019-05-21 |
| 1407379399 | Jennifer Renee Chavez | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2017-07-21 |
| 1629511340 | Jennifer Ann Chavez | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2016-11-29 |
| 1306241583 | Jennifer Lynn Chavez | Nurse Practitioner | 6100 Harris Pkwy, Suite # 285, Fort Worth, TX 76132-4101 | 2014-10-29 |
| Street Address |
9850 NICHOLAS ST STE 250 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740598812 | Adam W. Brockmeier | Physical Therapist | 9850 Nicholas St, Suite 300, Omaha, NE 68114-2186 | 2010-09-22 |
| 1659698280 | Moriah Wright | Surgery | 9850 Nicholas St, Suite 100, Omaha, NE 68114-2186 | 2010-04-21 |
| 1588781926 | Katherine Elizabeth Brown | Surgery | 9850 Nicholas St, Ste 250, Omaha, NE 68114-2191 | 2007-03-22 |
| 1376670489 | Amy Suzanne Meeks | Physician Assistant | 9850 Nicholas St, Suite 250, Omaha, NE 68114-2186 | 2007-02-27 |
| 1811936792 | Rao Gutta | Surgery | 9850 Nicholas St, Suite 250, Omaha, NE 68114-2186 | 2006-06-06 |
| 1215908330 | Omaha Thoracic & Cardiovascular Surgery, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Nicholas St, 250, Omaha, NE 68114-2186 | 2006-01-27 |
| 1558331777 | Thomas J Langdon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Nicholas St, Omaha, NE 68114-2186 | 2006-01-23 |
| 1245210772 | Tracy A Dorheim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Nicholas St, 250, Omaha, NE 68114-2186 | 2006-01-19 |
| 1932189453 | John T Batter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Nicholas St, 250, Omaha, NE 68114-2186 | 2006-01-19 |
| 1841289147 | Charles Andrew Ternent | Colon & Rectal Surgery | 9850 Nicholas St, Suite 100, Omaha, NE 68114-2191 | 2005-10-19 |
| 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 |
| 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 |
| 1801150511 | Anthony Robert Mann | Physician Assistant | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2012-06-27 |
| 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.