ANNA MARIE FUDER-BOEHM (NPI# 1619476389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619476389 |
| Entity Type | Individual |
| Full Name | ANNA MARIE FUDER-BOEHM |
| Credential | APRN |
| Practice Address |
42nd @ Dewey St Omaha NE 68198 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025526007 |
| Practice Fax Number | 4025526035 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 112408 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2041 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
42ND @ DEWEY ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111570 | Kenneth Zoucha | Specialist | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2005-08-15 |
| 1821616251 | Reed M Jarecke | Physician Assistant | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2020-07-13 |
| 1225659972 | Michelle E Wilhelm | Counselor | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2020-05-05 |
| 1942820527 | Julie A Bierman | Counselor | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2020-04-23 |
| 1861021099 | Troyia S.m. Anderson | Nurse Practitioner | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2020-04-08 |
| 1629602693 | Jennifer A Sparrock | Counselor | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2020-02-27 |
| 1245861962 | Melissa A Heinert | Physician Assistant | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2020-01-31 |
| 1720633555 | Sarah Elizabeth Wolnisty | Counselor | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2019-08-08 |
| 1427516228 | Kelly Gassman | Physician Assistant | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2019-03-11 |
| 1710425186 | Clare Esther Lookian | Physician Assistant | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2017-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466972 | Dana Mae Griffin | Nurse Practitioner | 3015 N 90th St Ste 1, Omaha, NE 68134-4713 | 2020-08-08 |
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1275152084 | Natalie Roberts | Nurse Practitioner | 8701 F St, Omaha, NE 68127-1504 | 2020-04-11 |
| 1982233532 | Jill Renae Sheffield | Nurse Practitioner | 2910 N 63rd St, Omaha, NE 68104-3352 | 2020-04-06 |
| 1669000733 | Jessica D Flowers | Nurse Practitioner | 6901 N 72nd St Ste 7500, Omaha, NE 68122-1709 | 2020-04-01 |
| 1639716665 | Tiffany Tesoro | Nurse Practitioner | 16957 Locust St, Omaha, NE 68116-2658 | 2019-12-10 |
| 1366907529 | Jacqueline Mcduffie | Nurse Practitioner | 6774 Wirt St, Omaha, NE 68104-3143 | 2019-02-01 |
| 1366936023 | Debra Jo Warren | Nurse Practitioner | 4104 Leavenworth St, Omaha, NE 68105-1053 | 2018-06-18 |
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
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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.