NICKIE BONAR (NPI# 1619309580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619309580 |
| Entity Type | Individual |
| Full Name | NICKIE BONAR |
| Credential | LMT |
| Practice Address |
1710 N 144th St Suite B Omaha NE 68154-4715 |
| Mailing Address |
11698 Meredith Ave Omaha NE 68164-2226 |
| Practice Telephone | 4022379110 |
| Mailing Telephone | 4022379110 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3033 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 173C00000X | Reflexologist | Other Service Providers | ||
| N | 172M00000X | Mechanotherapist | 3033 | NE | Other Service Providers |
| Street Address |
1710 N 144TH ST SUITE B |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578663175 | Mary D. Byrd | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2006-09-23 |
| 1871137323 | Complete Wellness LLC | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2019-10-28 |
| 1083098636 | Leslie Ellingson | Dentist | 1710 N 144th St, Omaha, NE 68154-4715 | 2015-07-14 |
| 1538562285 | Tyler P Byrd | Counselor | 1710 N 144th St, Ste 4, Omaha, NE 68154-4715 | 2014-10-08 |
| 1699176339 | Krista M Anderson | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2014-09-12 |
| 1700147196 | Amber Fry Counseling, PC | Counselor | 1710 N 144th St, Ste 4, Omaha, NE 68154-4715 | 2012-06-03 |
| 1710284203 | Diane Marie Anderson | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2011-02-17 |
| 1548564339 | Peggy Bertucci | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2011-01-07 |
| 1407158249 | Melisa Malone Barnes | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2010-11-30 |
| 1477700037 | Meghann Marie Dietz | Dentist | 1710 N 144th St, Omaha, NE 68154-4715 | 2008-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829120 | Mary Ann Mcmichael | Massage Therapist | 12305 Gold St Ste 9, Omaha, NE 68144-2760 | 2020-07-24 |
| 1245854942 | Teri Lynn Hein | Massage Therapist | 11316 Davenport St, Omaha, NE 68154-2630 | 2020-05-29 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1710528849 | Jimi Clyde Hughes | Massage Therapist | 11932 Arbor St Ste 100, Omaha, NE 68144-2986 | 2019-09-30 |
| 1861985012 | Mitch A Johnson | Massage Therapist | 1817 N 169th Plz Ste B, Omaha, NE 68118-2822 | 2018-06-12 |
| 1114438082 | Elizabeth Collette Mcguire | Massage Therapist | 1215 Leavenworth St, Omaha, NE 68102-3214 | 2017-10-19 |
| 1063923910 | Kristi S Ellis | Massage Therapist | 15805 W Maple Rd Ste 106, Omaha, NE 68116-8249 | 2017-10-18 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1497103154 | Charla Jacob | Massage Therapist | 148 S 39th St, Omaha, NE 68131-3002 | 2016-06-02 |
| 1861848020 | Terry John Van Gelder | Massage Therapist | 1216 Howard St, Omaha, NE 68102-2819 | 2016-05-06 |
| 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.