CHELSEA A ENNINGA (NPI# 1669777124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669777124 |
| Entity Type | Individual |
| Full Name | CHELSEA A ENNINGA |
| Credential | APRN |
| Practice Address |
2620 W Faidley Ave Grand Island NE 68803-4205 |
| Mailing Address |
2000 Q Street Suite 500 Lincoln NE 68503-3610 |
| Practice Telephone | 3083988980 |
| Practice Fax Number | 3083985537 |
| Mailing Telephone | 4024210904 |
| Mailing Fax Number | 4024210946 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 111201 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2620 W FAIDLEY AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701276 | Susan Elaine Beaty | Registered Nurse | 2620 W Faidley Ave, Wound Ostomy Healing Center, Grand Island, NE 68803-4205 | 2005-12-20 |
| 1780200139 | Emily Rae Christensen | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2020-06-22 |
| 1720621121 | Rachel James | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2019-10-18 |
| 1245724137 | Suellen Ranee Bruguera | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-06-14 |
| 1508357930 | Midwest Emergency Grand Island Inc | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-05-22 |
| 1740782770 | Lpp of Nebraska LLC | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-03-06 |
| 1528588357 | Chelsea Mae Pedroza | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2017-06-22 |
| 1477009686 | Zeeshan Khalid | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803 | 2016-08-28 |
| 1902251010 | Shoaib Junejo | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2016-04-26 |
| 1730593823 | Suresh Manapuram | Internal Medicine | 2620 W Faidley Ave, Dept of Hospital Medicine, Grand Island, NE 68803 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| 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 |
|---|---|---|---|---|
| 1437773777 | Greater Nebraska Infusion Center, Inc. | Nurse Practitioner | 2604 Saint Patrick Ave Ste 6, Grand Island, NE 68803-1313 | 2020-06-02 |
| 1538466180 | The Central Nebraska Child Advocacy Center, Inc. | Nurse Practitioner | 721 W Koenig St, Grand Island, NE 68801-6555 | 2011-02-17 |
| 1376774166 | Julie Rachel Hatch | Nurse Practitioner | 425 N Diers Ave, Grand Island, NE 68803-4910 | 2009-07-28 |
| 1356451439 | Dawn Gay Nahrstedt | Nurse Practitioner | 1300 S Locust, Ste A, Grand Island, NE 68801 | 2006-08-30 |
| 1164436978 | Cheryl Ann Lewis | Nurse Practitioner | 5225 E River Rd, Grand Island, NY 14072-1103 | 2006-07-28 |
| 1689631327 | Sandra Leigh Borden | Nurse Practitioner | 1300 S Locust St, Ste A, Grand Island, NE 68801 | 2006-04-27 |
| 1679191522 | Jessica L Rathje | Nurse Practitioner | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2020-07-08 |
| 1114574696 | Jose Bajo | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2019-08-20 |
| 1447819727 | Susan B Kryzsko | Nurse Practitioner | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2019-06-10 |
| 1730648569 | John Linder | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2019-03-19 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on CHELSEA A ENNINGA.
| 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.