NICHOLE THIES (NPI# 1629175682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629175682 |
| Entity Type | Individual |
| Full Name | NICHOLE THIES |
| Credential | APRN-NP |
| Practice Address |
13808 W Maple Rd Omaha NE 68164 |
| Mailing Address |
13808 W Maple Rd Omaha NE 68164-6231 |
| Practice Telephone | 4029553000 |
| Practice Fax Number | 4029557055 |
| Mailing Telephone | 4029553000 |
| Mailing Fax Number | 4029557055 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
110994 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025113100 | 05 |
| Street Address |
13808 W MAPLE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156302 | David George John Kaufman | Pediatrics | 13808 W Maple Rd, Suite 100, Omaha, NE 68164-6231 | 2005-10-05 |
| 1003184045 | Eagle Run Chiropractic, P.C. | Clinic/Center | 13808 W Maple Rd, Suite 116, Omaha, NE 68164-6231 | 2011-12-05 |
| 1255627709 | Amy Marie Ruf | Dentist | 13808 W Maple Rd, Suite 112, Omaha, NE 68164-6231 | 2011-06-23 |
| 1427285378 | Jon M Wasserburger | Dentist | 13808 W Maple Rd, Omaha, NE 68164-6231 | 2009-06-18 |
| 1093839748 | Jay D Samuelson | Dentist | 13808 W Maple Rd, Suite112, Omaha, NE 68164-6231 | 2007-03-19 |
| 1972627685 | Brian S Pendley | Dentist | 13808 W Maple Rd, Suite 112, Omaha, NE 68164-6231 | 2007-03-19 |
| 1477628683 | Patrick John Friend | Chiropractor | 13808 W Maple Rd, Suite 116, Omaha, NE 68164-6231 | 2006-11-22 |
| 1386731990 | Darin Michael Gregory | Family Medicine | 13808 W Maple Rd, Suite 124, Omaha, NE 68164-6231 | 2006-10-06 |
| 1811088693 | Hillsborough Family Dentistry, P.C. | Dentist | 13808 W Maple Rd, Suite 112, Omaha, NE 68164-6231 | 2006-09-27 |
| 1073621900 | Joseph G. Straley | Pediatrics | 13808 W Maple Rd, Suite 100, Omaha, NE 68164-6231 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112561 | Ivy Autumn Todd | Nurse Practitioner | 18809 Pinehurst Ave, Omaha, NE 68136-6490 | 2020-10-26 |
| 1992083752 | Tara Kaye Hoffman | Nurse Practitioner | The Nebraska Medical Center Picu, 982145 Nebraska Medical Center, Omaha, NE 68198-2145 | 2011-07-28 |
| 1548590730 | Anna Lanora Nolette | Nurse Practitioner | 985160 Nebraska Medical Ctr, Omaha, NE 68198-5160 | 2010-01-11 |
| 1093049116 | Melissa Ann Schembari | Nurse Practitioner | 16811 Burke St Ste 101, Omaha, NE 68118-2253 | 2009-09-22 |
| 1669492898 | Jacqueline R Hanks | Nurse Practitioner | 982168 Nebraska Medical Ctr, Omaha, NE 68198-2168 | 2006-07-20 |
| 1962056275 | Stefanie L Kammrad | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-07-25 |
| 1407409394 | Cassandra M Van Pelt | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-07-19 |
| 1437710043 | Children's Physicians | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-06-25 |
| 1417425968 | Lea Renee Barajas-deloa | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-11-02 |
| 1548748320 | Cassandra L Kilpatrick | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-08-02 |
| 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.