MRS. JODI LYNN MCQUILLEN (NPI# 1578766143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578766143 |
| Entity Type | Individual |
| Full Name | MRS. JODI LYNN MCQUILLEN |
| Credential | LIMHP, LCSW, LISW |
| Practice Address |
2510 Bellevue Medical Center Dr Suite 200 Bellevue NE 68123-1520 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025752275 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
753 | NE | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
3448 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
006833 | IA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1303 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100258639-00 | 05 | |
| NE | MEDICARE PTAN | NA1591 | 01 |
| Street Address |
2510 BELLEVUE MEDICAL CENTER DR SUITE 200 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144278482 | Brian J Finley | Family Medicine | 2510 Bellevue Medical Center Dr, Ste 145a, Bellevue, NE 68123-1520 | 2006-05-05 |
| 1396116539 | Gross, Iwersen, Kratochvil & Klein Md PC | Orthopaedic Surgery | 2510 Bellevue Medical Center Dr, Suite 145, Bellevue, NE 68123-1556 | 2015-10-14 |
| 1477968972 | Patrick Christopher Anderl | Family Medicine | 2510 Bellevue Medical Center Dr, Suite 200, Bellevue, NE 68123-1520 | 2014-06-24 |
| 1972941441 | Connie Mc Daniel | Nurse Practitioner | 2510 Bellevue Medical Center Dr, Suite 145a, Bellevue, NE 68123-1520 | 2013-06-06 |
| 1699034579 | Valerie Ann Prescher-buman | Family Medicine | 2510 Bellevue Medical Center Dr, Bellevue, NE 68123-1520 | 2012-05-11 |
| 1053682377 | Total Sleep Center LLC | Clinic/Center | 2510 Bellevue Medical Center Dr, Suite 170, Bellevue, NE 68123-1520 | 2012-01-18 |
| 1609185230 | Socoro LLC | Clinic/Center | 2510 Bellevue Medical Center Dr, Suite 170, Bellevue, NE 68123-1520 | 2010-09-30 |
| 1740501162 | Jacqueline L Hobbs | Family Medicine | 2510 Bellevue Medical Center Dr, Suite 145a, Bellevue, NE 68123-1520 | 2010-06-21 |
| 1124292164 | Emily F. Hill | Registered Nurse | 2510 Bellevue Medical Center Dr, Suite 200, Bellevue, NE 68123-1520 | 2008-04-22 |
| 1124224852 | Eugene Oliveto, Md, PC | Psychiatry & Neurology | 2510 Bellevue Medical Center Dr, #145a, Bellevue, NE 68123 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931416 | Lauren Dudugjian | Counselor | 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 | 2020-10-27 |
| 1760080345 | Carli Rhylander | Counselor | 2009 Nottingham Dr, Bellevue, NE 68123-2046 | 2020-10-15 |
| 1023621877 | Eileen S Putter | Counselor | 14011 Se 49th Pl, Bellevue, WA 98006-3401 | 2020-08-30 |
| 1326657164 | Tamasin Raiswell | Counselor | 1611 116th Ave Ne Ste 211, Bellevue, WA 98004-3064 | 2020-07-28 |
| 1194349415 | Le Center for Health & Wellness, Inc. | Counselor | 15015 Main St Ste 210, Bellevue, WA 98007-5229 | 2020-06-02 |
| 1447888326 | Carlos M Del Rio | Counselor | 4009 Raynor Pkwy Apt 2120, Bellevue, NE 68123-6103 | 2020-03-27 |
| 1386270221 | Danthony T Smith | Counselor | 10608 Ne 2nd St, Bellevue, WA 98004-5157 | 2020-03-22 |
| 1538708169 | Anna L Redgrave | Counselor | 15659 Se 9th St, Bellevue, WA 98008-4901 | 2019-12-30 |
| 1508401142 | Jennifer Flores | Counselor | 3145 Whiteman Dr, Bellevue, NE 68123-1625 | 2019-11-07 |
| 1861037467 | Alyssa Rose Overton | Counselor | 1231 116th Ave Ne Ste 410, Bellevue, WA 98004-3804 | 2019-11-07 |
| Find all providers in BELLEVUE | ||||
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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.