MRS. KIMBERLEY A DEATS (NPI# 1518078260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518078260 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLEY A DEATS |
| Credential | M.P.A.S, P.A.-C |
| Practice Address |
909 N 96th St Suite 201 Omaha NE 68114-2497 |
| Practice Telephone | 4023304555 |
| Practice Fax Number | 4029340945 |
| Mailing Telephone | 4023304555 |
| Mailing Fax Number | 4029340945 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1146 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | P00166317 | 01 |
| Street Address |
909 N 96TH ST SUITE 201 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517405 | Marc R Hapke | Pathology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2005-06-13 |
| 1134431133 | Sara Elizabeth West | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2010-07-07 |
| 1225290596 | Judy Carmen Wolpert | Dermatology | 909 N 96th St, Omaha, NE 68114-2497 | 2008-06-27 |
| 1700090024 | Ashley Laurel Drake | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2007-05-09 |
| 1164531158 | Jill S Nelson | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-08-30 |
| 1598713935 | Anthony J Griess | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
| 1134177488 | David J Watts | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
| 1114975489 | Julie Ann Roubal | Physician Assistant | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
| 1871541078 | Dermatology Surgery Center PC | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-04 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1700936978 | Christina M Jensen | Physician Assistant | 7710 Mercy Rd Ste 502, Omaha, NE 68124-2346 | 2007-01-11 |
| 1104984772 | Diana R Lundquist | Physician Assistant | 7815 Farnam Dr, Children's Home Healthcare's World, Omaha, NE 68114-4564 | 2006-12-05 |
| 1528153863 | Mary Patricia Byam-smith | Physician Assistant | 1620 S 198th Ave, Omaha, NE 68130 | 2006-10-03 |
| 1386651172 | Connie L Anderson | Physician Assistant | 105 N 31st Ave, Ste 102, Omaha, NE 68131-2940 | 2006-08-02 |
| 1194731869 | Margaret Alice Antley | Physician Assistant | 710 S 17th St, Omaha, NE 68102-3108 | 2006-08-01 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on MRS. KIMBERLEY A DEATS.
| 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.