MRS. DANIELLE WALLINGA (NPI# 1750474755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750474755 |
| Entity Type | Individual |
| Full Name | MRS. DANIELLE WALLINGA |
| Credential | P.A. |
| Practice Address |
25410 Park Ave Apartment E Niobrara NE 68760-7044 |
| Practice Telephone | 4028573398 |
| Practice Fax Number | 4028573315 |
| Mailing Telephone | 4028573398 |
| Mailing Fax Number | 4028573315 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
908 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025001900 | 05 | |
| SD | 5300850 | 05 | |
| SD | MEDICAID | 5300850 | 01 |
| NE | MIDLANDS CHOICE | 9955 | 01 |
| NE | BLUE SHIELD | 30387 | 01 |
| NE | DAKOTACARE | 9210187 | 01 |
| Street Address |
25410 PARK AVE APARTMENT E |
| City | NIOBRARA |
| State | NE |
| Zip Code | 68760-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801989967 | Sacred Heart Rural Health Clinics | Clinic/Center | 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582111 | Stephani Sue Reinhardt | Registered Nurse | 110 So. Visiting Eagle St, Niobrara, NE 68760 | 2019-01-11 |
| 1972630234 | Santee Clinic Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 S. Visiting Eagle Street, Niobrara, NE 68760 | 2007-02-27 |
| 1558641787 | Golden Living Center-neligh | Skilled Nursing Facility | 16 Cottonwood Dr, Box 37, Niobrara, NE 68760-6083 | 2011-08-19 |
| 1568475622 | Niobrara Rural Fire District | Ambulance | 259 Spruce Ave, Niobrara, NE 68760-6102 | 2006-08-13 |
| 1881233070 | Diane Margaret Teadtke | Nurse Practitioner | 52518 890 Rd, Niobrara, NE 68760-7003 | 2020-01-05 |
| 1730448671 | Sacred Heart Health Services | Family Medicine | 25410 Park Ave Apt E, Niobrara, NE 68760-7044 | 2012-05-13 |
| 1659854537 | Chelsey Renee Chohon | Registered Nurse | 247 N Highway 12, Niobrara, NE 68760-7070 | 2018-09-07 |
| 1922025527 | Lanny Turner | Emergency Medicine | 110 S Visiting Eagle St, Santee Health Clinic, Niobrara, NE 68760-7201 | 2006-07-17 |
| 1821656349 | Karrah Ann Johnson Bruegman | Dentist | 110 S Visiting Eagle St, Niobrara, NE 68760-7201 | 2019-05-30 |
| 1053879445 | Jennifer Susan Cole | Registered Nurse | 110 S Visiting Eagle St, Niobrara, NE 68760-7201 | 2019-03-05 |
| Find all providers in zip 68760 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1639308893 | Lisa C Degen | Physician Assistant | 2116 W Faidley Ave Ste 400, Grand Island, NE 68803 | 2009-07-09 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| Find all providers with the same taxonomy | ||||
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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.