JAIMIE ANN MASTERS RUSSELL (NPI# 1457873457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457873457 |
| Entity Type | Individual |
| Full Name | JAIMIE ANN MASTERS RUSSELL |
| Other Name | JAIMIE MASTERS |
| Credential | APRN |
| Practice Address |
3901 Pine Lake Rd Ste 120 Lincoln NE 68516-5497 |
| Practice Telephone | 4024201212 |
| Practice Fax Number | 4023280961 |
| Mailing Telephone | 4024201212 |
| Mailing Fax Number | 4023280961 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
112265 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PENDING | 05 |
| Street Address |
3901 PINE LAKE RD STE 120 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639506900 | Carol Ann Havlat | Nurse Practitioner | 3901 Pine Lake Rd Ste 120, Lincoln, NE 68516-5497 | 2013-10-02 |
| 1962035576 | Samone Marie Wulf | Physician Assistant | 3901 Pine Lake Rd Ste 120, Lincoln, NE 68516-5497 | 2020-02-21 |
| 1275173858 | Karis A Lange | Physician Assistant | 3901 Pine Lake Rd Ste 120, Lincoln, NE 68516-5497 | 2020-01-10 |
| 1447772637 | William James Saalfeld | Nurse Practitioner | 3901 Pine Lake Rd Ste 120, Lincoln, NE 68516-5497 | 2017-07-10 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015594 | Whitney A West | Nurse Practitioner | 900 Foxcroft Ct Apt 121, Lincoln, NE 68510-4177 | 2020-08-24 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1528449741 | Kimberly Waters | Nurse Practitioner | 3733 Holmes Park Rd, Lincoln, NE 68506-4645 | 2015-06-12 |
| 1629621354 | Kerry L Emeigh | Nurse Practitioner | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2019-07-22 |
| 1376102343 | Integrative Health and Wellness | Nurse Practitioner | 7405 Pioneers Blvd Ste 4, Lincoln, NE 68506-7554 | 2019-06-12 |
| 1871031427 | Kayla Ditommaso | Nurse Practitioner | 233 Concord Rd, Lincoln, MA 01773-5112 | 2017-02-03 |
| 1942679899 | Laycee Duhaime | Nurse Practitioner | 175 W Broadway, Lincoln, ME 04457-4000 | 2015-09-22 |
| 1821409178 | Senior Care Clinic House Calls | Nurse Practitioner | 89 Lincoln Blvd, Suite 100, Lincoln, CA 95648-6315 | 2014-05-08 |
| 1407843048 | Amy K Arndt | Nurse Practitioner | 755 Fallbrook Blvd, Suite 100, Lincoln, NE 68521-9056 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048314 | Rabia Moukrad | Nurse Practitioner | 4951 Center St Ste 200, Omaha, NE 68106-3252 | 2019-11-20 |
| 1790327195 | Joseph A Anthone | Nurse Practitioner | 12728 Augusta Ave Fl 2, Omaha, NE 68144-3702 | 2019-10-17 |
| 1992353965 | Lisa Marie Bruha | Nurse Practitioner | 46725 809th Rd, Ord, NE 68862-5330 | 2019-09-03 |
| 1063932028 | Laura Beth Boon | Nurse Practitioner | 989500 Nebraska Medical Ctr Fl Center5, Omaha, NE 68198-9500 | 2017-06-21 |
| 1578010955 | Jyllyan Christine Halldorson | Nurse Practitioner | 3814 S 186th Ave, Omaha, NE 68130-6029 | 2016-09-02 |
| 1053700245 | Nadia Ann Mccann | Nurse Practitioner | 2820 E Us Highway 34, Grand Island, NE 68801-9734 | 2015-01-12 |
| 1841357076 | Kelli A L King | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101-6138 | 2007-01-03 |
| 1053349142 | Kathleen Ann Popelka | Nurse Practitioner | Vamc (11ac), 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2006-06-29 |
| 1285617522 | Nichole L Pourier | Nurse Practitioner | 300 Shelton St, Chadron, NE 69337-2312 | 2005-11-21 |
| 1487636650 | Debra Crisalli Saure | Nurse Practitioner | 602 N. 20 Th Street, Suite 1034 Harper Center, Omaha, NE 68131 | 2005-11-15 |
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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.