DARA JOAN BUCKENDAHL


Address: 5130 Colfax Ave, Lincoln, NE 68504-1751
Phone: 4024361211

DARA JOAN BUCKENDAHL (NPI# 1619476934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619476934
Entity Type Individual
Full Name DARA JOAN BUCKENDAHL
Credential RN, BSN
Practice Address 5130 Colfax Ave
Lincoln
NE 68504-1751
Practice Telephone 4024361211
Practice Fax Number 4024583211
Mailing Telephone 4024361211
Mailing Fax Number 4024583211
Enumeration Date 2018-02-02
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
62453 NE Nursing Service Providers
Y 163WS0200X Registered Nurse
Specialization: School
62453 NE Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5200 S 75th St, Lincoln, NE 685164360 4024361153 4024583253

Office Location

Street Address 5130 COLFAX AVE
City LINCOLN
State NE
Zip Code 68504-1751

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NPI Name Taxonomy Address Enumeration
1942865399 Jennifer Michelle Rokeby-mayeux Counselor 1231 North 38th Street, Lincoln, NE 68504 2019-05-01
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1003368705 Kameelah Fletcher Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4826 Madison Ave #5, Lincoln, NEBRASKA 68504 2016-10-28
1467909051 Amanda Rae Edlund Speech-Language Pathologist 2851 Fletcher Ave Apt 114, Lincoln, NE 68504 2016-09-01
1316215841 Donna E Connely Psychoanalyst 5220 Leighton Avenue, Suite B, Lincoln, NE 68504 2011-12-12
1083865877 Paul John Rallis Dentist 3256 Salt Creek Cir., Lincoln, NE 68504 2008-10-10
1457531212 Kathryn Alderman Dentist 5800 N 33rd, Lincoln, NE 68504 2007-11-09
1528145323 Jennifer Marjorie Perry Psychologist 3272 Salt Creek Circle, Suite B, Lincoln, NE 68504 2006-11-01
1972513430 Peter Matthew Wawers Chiropractor 3830 Adams St, Lincoln, NE 68504 2006-08-08
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578177861 Kimberly J Riggert Registered Nurse 6601 Glass Ridge Dr, Lincoln, NE 68526-9752 2020-09-03
1710596127 Meghan Shoop Registered Nurse 6245 L St, Lincoln, NE 68510-2354 2020-07-31
1467061820 Joni Renee Jahn Registered Nurse 6812 S 89th St, Lincoln, NE 68526-9739 2020-07-30
1982184396 Jamie Rankin Registered Nurse 630 W Dawes Ave, Lincoln, NE 68521-3958 2018-08-15
1013404599 Amanda Ehlers Registered Nurse Lps District Office, 5905 O Street, Lincoln, NE 68510 2018-04-19
1639671720 Jennifer Uher Registered Nurse 3425 N 14th St, Lincoln, NE 68521-2126 2018-03-05
1235639808 Hollis Althea Alexander-ramsay Registered Nurse 5230 Tipperary Trl, Lincoln, NE 68512-1459 2018-02-20
1811497225 Katie Leyden Registered Nurse 3100 Plymouth Ave, Lincoln, NE 68502-4129 2018-02-13
1881193266 Susan Kangas-packett Registered Nurse 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 2018-02-12
1730688714 Kathleen Morgan Registered Nurse 611 0 S 41st, Lincoln, NE 68516 2018-02-06
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Competitor

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City LINCOLN
Zip Code 68504

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Dataset Information

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.

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