ANDREA MARIE JACKSON (NPI# 1669026613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669026613 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE JACKSON |
| Credential | APRN |
| Practice Address |
7500 Mercy Rd Ste 4300 Omaha NE 68124-2319 |
| Practice Telephone | 4023985880 |
| Practice Fax Number | 4023986716 |
| Mailing Telephone | 4023985880 |
| Mailing Fax Number | 4023986716 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 72725 | NE | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 112968 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| Street Address |
7500 MERCY RD STE 4300 |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972888063 | David L Stern Do PC | Anesthesiology | 7500 Mercy Rd Ste 4300, 7500 Mercy Rd, Omaha, NE 68124-2319 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| 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 |
| 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.