DR. NICOLE ANN PEARSALL (NPI# 1518170737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518170737 |
| Entity Type | Individual |
| Full Name | DR. NICOLE ANN PEARSALL |
| Credential | M.D. |
| Practice Address |
17001 Lakeside Hills Plz Ste 100 Omaha NE 68130-4670 |
| Practice Telephone | 4026977200 |
| Practice Fax Number | 4026977282 |
| Mailing Telephone | 4026977200 |
| Mailing Fax Number | 4026977282 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25716 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICAL LICENSE | 25716 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189993 | Nicole Pearsall | Case Manager/Care Coordinator | 15 Prospect St, Nashua, NH 03060-3923 | 2019-11-19 |
| Street Address |
17001 LAKESIDE HILLS PLZ STE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971274 | Ann M Sullivan | Obstetrics & Gynecology | 17001 Lakeside Hills Plz Ste 100, Omaha, NE 68130-4670 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1629639562 | Anna Adamson | Obstetrics & Gynecology | 983255 Nebraska Medica Center, Omaha, NE 68198-3255 | 2019-06-21 |
| 1265956908 | Dominique Boudreau Boadwine | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2017-08-02 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1205276326 | Lauren Ashley Anderson | Obstetrics & Gynecology | 16909 Lakeside Hills Ct Ste 401, Omaha, NE 68130-4661 | 2013-07-03 |
| 1952660573 | Gina M Torpin | Obstetrics & Gynecology | 983255 Nebraska Medical Center, Omaha, NE 68198-3255 | 2012-05-16 |
| 1033483011 | Kirsch Medical Aesthetic Associates | Obstetrics & Gynecology | 11623 Arbor St Ste 101, Omaha, NE 68144-2996 | 2012-03-08 |
| 1699084350 | Sarah Rachelle Lundin | Obstetrics & Gynecology | 2420 S 113th St, Omaha, NE 68144-3028 | 2010-09-29 |
| 1437311099 | Karen Sue Carlson | Obstetrics & Gynecology | Nebraska Medical Center Dept of Ob Gyn, 983255 Nebraska Medical Center, Omaha, NE 68198-0001 | 2008-06-25 |
| 1447461645 | Kristina Ann Pakiz | Obstetrics & Gynecology | 6901 Mercy Road, Omaha, NE 68106 | 2007-05-27 |
| 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.