MS. DAISY SUE SHADE (NPI# 1588716781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588716781 |
| Entity Type | Individual |
| Full Name | MS. DAISY SUE SHADE |
| Credential | PA-C |
| Practice Address |
1500 S 48th St Suite 708 Lincoln NE 68506-1225 |
| Mailing Address |
8550 Cuthills Cir Suite 100 Lincoln NE 68526-9474 |
| Practice Telephone | 4024863444 |
| Practice Fax Number | 4024863590 |
| Mailing Telephone | 4024766060 |
| Mailing Fax Number | 4024766809 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
711 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 S 48TH ST SUITE 708 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091588 | James Jackson Nora Jr. | Internal Medicine | 1500 S 48th St, Ste 506, Lincoln, NE 68506-1225 | 2005-05-24 |
| 1720524937 | Sarah Elizabeth Froehlich | Physician Assistant | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1276 | 2017-01-11 |
| 1194260208 | Garner Wilson | Physician Assistant | 1500 S 48th St, Ste 400, Lincoln, NE 68506-1276 | 2016-12-28 |
| 1982149373 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1500 S 48th St, Suite 605, Lincoln, NE 68506-1276 | 2016-12-21 |
| 1033567912 | Larissa Hunsberger | Physician Assistant | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1276 | 2016-06-01 |
| 1417305384 | Sarah Dolezal | Physician Assistant | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1276 | 2016-06-01 |
| 1710335336 | Labcorp Nebraska Inc | Clinical Medical Laboratory | 1500 S 48th St, Suite 605, Lincoln, NE 68506-1276 | 2016-05-25 |
| 1881076180 | Jameson S Hofker | Audiologist | 1500 S 48th St, Suite 200, Lincoln, NE 68506-1276 | 2015-06-23 |
| 1417362997 | Courtney Loecker | Nurse Practitioner | 1500 S 48th St, Suite 506, Lincoln, NE 68506-1276 | 2014-06-24 |
| 1215352505 | Emily Kate Plautz | Physician Assistant | 1500 S 48th St, Suite 510, Lincoln, NE 68506-1276 | 2014-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1033327721 | Cheryl R Flinn | Physician Assistant | 6891 A St, Ste 210, Lincoln, NE 68510-4111 | 2007-05-18 |
| 1073530861 | Stephanie M Maclary | Physician Assistant | 3 Wake Robin Rd, Lincoln, RI 02865-4294 | 2006-07-16 |
| 1447201389 | Douglas Phelps | Physician Assistant | 4210 Pioneer Woods Dr Ste A, Lincoln, NE 68506-7561 | 2006-05-15 |
| 1073573184 | Lynn Colleen Mclaughlin | Physician Assistant | 6900 Van Dorn St, Suite 24, Lincoln, NE 68506-2882 | 2006-03-23 |
| 1922073618 | Jackie M Hinzman | Physician Assistant | 2662 Cornhusker Hwy, Suite 100, Lincoln, NE 68521-1464 | 2006-02-17 |
| 1437136405 | Jill S Rine | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2005-12-29 |
| 1407857253 | Joan Marie George | Physician Assistant | 4600 Valley Rd, Siute 200, Lincoln, NE 68510-4855 | 2005-08-02 |
| 1942827415 | Krista Dawn Patefield | Physician Assistant | 8207 Northwoods Dr Ste 100, Lincoln, NE 68505-2093 | 2020-07-01 |
| 1932748910 | Mason Beel | Physician Assistant | 6911 Van Dorn St Ste 1, Lincoln, NE 68506-6801 | 2019-12-23 |
| Find all providers in LINCOLN | ||||
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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.