MRS. JENNIFER JO RIDDELL (NPI# 1679684252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679684252 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER JO RIDDELL |
| Other Name | MISS JENNIFER JACK LANS |
| Credential | APRN |
| Practice Address |
8303 Dodge St #225 Omaha NE 68114 |
| Practice Telephone | 4023545860 |
| Practice Fax Number | 4023542350 |
| Mailing Telephone | 4023545860 |
| Mailing Fax Number | 4023542350 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
110797 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8303 DODGE ST #225 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1538771381 | Krista Villarreal | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-21 |
| 1437769163 | Julie Juddi | Dietitian, Registered | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-06 |
| 1023631934 | Jaclyn E Kenney | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-26 |
| 1215558846 | Linda Yen Nong | Pharmacist | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-05 |
| 1265990303 | Amanda J Nelson | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1194283226 | Haley R Mcmillin | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1336618578 | Emily Schlautman | Physician Assistant | 8303 Dodge St, Suite 225, Omaha, NE 68114-4108 | 2018-11-16 |
| 1134602105 | Michael Gurtler | Genetic Counselor, MS | 8303 Dodge St, Omaha, NE 68114-4108 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043620917 | Carrie Snyder | Clinical Nurse Specialist | 2500 California Plz, Hlsb Rm 202, Omaha, NE 68178-0133 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659364552 | Natalie Christine Mandolfo | Clinical Nurse Specialist | 703 Ruby Rd, Papillion, NE 68133 | 2005-08-25 |
| 1902321375 | Michaela Sherbeck | Clinical Nurse Specialist | 10 E 31st St, Kearney, NE 68847-2908 | 2017-08-07 |
Please comment or provide details below to improve the information on MRS. JENNIFER JO RIDDELL.
| 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.