PENNILEE STEPHENS WEST (NPI# 1801024724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801024724 |
| Entity Type | Individual |
| Full Name | PENNILEE STEPHENS WEST |
| Credential | CNM |
| Practice Address |
4920 S 30th St Suite 103 Omaha NE 68107-1590 |
| Practice Telephone | 4027344110 |
| Practice Fax Number | 4029915642 |
| Mailing Telephone | 4027344110 |
| Mailing Fax Number | 4029915642 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
120039 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NEBRASKA LICENSE | 69098 | 01 |
| NE | NEBRASKA LICENSE | 120039 | 01 |
| Street Address |
4920 S 30TH ST SUITE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060777 | Beth Jeannine Hansen | Counselor | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2005-08-16 |
| 1174143374 | Thea Vita Gonzales Ramos | Pharmacist | 4920 S 30th St, Omaha, NE 68107-1590 | 2020-04-17 |
| 1750900908 | Breann Danielle Baker | Pharmacist | 4920 S 30th St, Omaha, NE 68107-1590 | 2020-04-08 |
| 1275072415 | Mark W Huber | Nurse Practitioner | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2017-02-21 |
| 1750820239 | Michelle L Hill | Physician Assistant | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2017-02-17 |
| 1376081596 | Dalia Nayeli Ruvalcaba Soria | Counselor | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2017-02-08 |
| 1508310061 | Melanie Jo Huber | Registered Nurse | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2016-08-12 |
| 1346691086 | Patience N Riley | Counselor | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2016-06-23 |
| 1851742506 | Clara Jean Fynbu Eggert | Nurse Practitioner | 4920 S 30th St, Omaha, NE 68107-1590 | 2016-06-23 |
| 1366802076 | Roxanna Pimentel | Dental Hygienist | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1578794392 | Kara L. Higgins | Nurse Practitioner | 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | 2009-07-28 |
| 1396996005 | Kathleen D Scott | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-10-01 |
| 1912185141 | Teresa Stowe | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2008-02-11 |
| 1730270117 | Mindy K Rathe-hart | Nurse Practitioner | 8901 W Dodge Rd, Omaha, NE 68114-3321 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308892 | Julie A Welsh | Nurse Practitioner | 3911 Av. B, Suite 3100, Scottsbluff, NE 69361 | 2005-07-07 |
| 1033581509 | Jessica Gering | Nurse Practitioner | 10701 S 72nd St, Ste 100, Papillion, NE 68046-3427 | 2015-10-23 |
| 1891134987 | Nicole Loseke | Nurse Practitioner | 2400 N Lincoln Ave, Fremont, NE 68025-2461 | 2013-06-21 |
| 1326303926 | Lindsay Nicole Van Pelt | Nurse Practitioner | 1917 W Faidley Ave, Grand Island, NE 68803-4642 | 2012-07-10 |
| 1376749010 | Heather S Hubbard | Nurse Practitioner | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2007-06-21 |
Please comment or provide details below to improve the information on PENNILEE STEPHENS WEST.
| 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.