DR. KENNETH MCCORD TIERNEY (NPI# 1457832677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457832677 |
Entity Type | Individual |
Full Name | DR. KENNETH MCCORD TIERNEY |
Credential | APRN |
Practice Address |
2500 California Plz Omaha NE 68178-0133 |
Mailing Address |
5621 Pine St Omaha NE 68106-2210 |
Practice Telephone | 4022802251 |
Mailing Telephone | 4029902140 |
Enumeration Date | 2018-08-25 |
Last Update Date | 2018-08-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112609 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5621 Pine St, Omaha, NE 681062210 | 4029902140 |
Street Address |
2500 CALIFORNIA PLZ |
City | OMAHA |
State | NE |
Zip Code | 68178-0133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558364349 | Charles William Wilcox | Dentist | 2500 California Plz, Omaha, NE 68178-0001 | 2005-05-24 |
1265044713 | Maryann Ziegler Skrabal | Pharmacist | 2500 California Plz, Omaha, NE 68178-0002 | 2020-08-17 |
1760009385 | Khadijah Letrell Lane | Occupational Therapist | 2500 California Plz, Omaha, NE 68178-0002 | 2020-06-30 |
1619504461 | Hannah Meissner | Student in an Organized Health Care Education/Training Program | 2500 California Plz, Omaha, NE 68178-0133 | 2020-03-23 |
1639710551 | Brandi Ganatra | Nurse Practitioner | 2500 California Plz, Omaha, NE 68178-0133 | 2019-10-02 |
1316592462 | Emily J Chop | Occupational Therapist | 2500 California Plz, Omaha, NE 68178-0133 | 2019-08-06 |
1992280630 | Jamie Beck | Registered Nurse | 2500 California Plz, Omaha, NE 68178-0133 | 2018-09-28 |
1326532623 | Alisandrea Elson | Psychiatry & Neurology | 2500 California Plz, Omaha, NE 68178-0133 | 2018-06-19 |
1730694399 | Dennis Higginbotham | Dentist | 2500 California Plz, Omaha, NE 68178-0133 | 2017-12-05 |
1558870220 | James Loren Sheets | Dentist | 2500 California Plz, Omaha, NE 68178-0133 | 2017-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790993251 | Karen Anne Paschal | Physical Therapist | Department of Physical Therapy, Creighton University, 2500 California Plaza, Omaha, NE 68178 | 2007-05-18 |
1427116789 | William Thoms Naughton | Dentist | 2500 California Plaza, Creighton University Medical Center School of Dentistry, Omha, NE 68178 | 2006-12-05 |
1710486790 | Curtis Daniel Self | Specialist/Technologist | 2500 California Plaza, Omaha, NE 68178 | 2018-02-06 |
1669981338 | Ashley Nicole Aubry | Dental Hygienist | 2500 California Plaza, Omaha, NE 68178 | 2017-09-26 |
1629587449 | Kelly A Gould | Dental Hygienist | 2500 California Plaza, Omaha, NE 68178 | 2017-09-25 |
1811415375 | Gerald Carl Brundo | Dentist | 2500 California Plaza, School of Dentistry Creighton University, Omaha, NE 68178 | 2017-09-05 |
1104082213 | Nicholas Jay Levering | Dentist | 2500 California Plaza, Creighton University School of Dentistry, Omaha, NE 68178 | 2008-07-29 |
1902920986 | Samuel Augustine | Pharmacist | 2500 California Plaza, Cu - Spahp Hixson Lied Science Building Rm 153, Omaha, NE 68178 | 2007-03-16 |
1245744101 | Aaron Michael Haselhorst | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68178-0001 | 2017-11-29 |
1407139132 | Creighton Universtity | Clinic/Center | 2500 Claifornia Plz, Omaha, NE 68178-0001 | 2011-09-20 |
Find all providers in zip 68178 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
1720697303 | Acacia Schulte-garcia | Nurse Practitioner | 5630 N 116th Cir, Omaha, NE 68164-1427 | 2020-07-29 |
1336775857 | Christina Lee Hoy | Nurse Practitioner | 986805 Nebraska Medical Ctr, Omaha, NE 68198-6805 | 2020-03-16 |
1144852666 | Margaret Messersmith | Nurse Practitioner | S 42nd & Emile St, Omaha, NE 68198-0001 | 2020-02-12 |
1881237766 | Ashlie Renae Zima | Nurse Practitioner | 16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 | 2019-10-23 |
1659920775 | Simone Yamdaare Redboy | Nurse Practitioner | 11348 Taylor St, Omaha, NE 68164-2341 | 2019-09-11 |
1316592629 | Megan Nicole Mertz | Nurse Practitioner | 1624 S 153rd St, Omaha, NE 68144-5145 | 2019-08-04 |
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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.