MARY ANN WILKEN (NPI# 1821380403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821380403 |
| Entity Type | Individual |
| Full Name | MARY ANN WILKEN |
| Credential | RN,BC |
| Practice Address |
4102 Woolworth Ave Omaha NE 68105-1851 |
| Mailing Address |
4201 Woolworth Ave Omaha NE 68105-1752 |
| Practice Telephone | 4024447000 |
| Practice Fax Number | 4024443943 |
| Mailing Telephone | 4024447000 |
| Mailing Fax Number | 4024443943 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
39709 | NE | Nursing Service Providers |
| Street Address |
4102 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019718 | Douglas County Nebraska | Psychiatric Hospital | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2005-08-03 |
| 1295360014 | Julie D'agosto | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2020-03-12 |
| 1235790551 | Meghan Greenfield | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-26 |
| 1487214391 | Lacy Rae Phillips | Physical Therapist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-13 |
| 1477011294 | Patricia Ann Teeter | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-03-11 |
| 1558827980 | Robin Lee Sullivan | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-02-11 |
| 1083188320 | Heidi Michelle Berthelsen | Speech-Language Pathologist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-01-21 |
| 1740757327 | Katrina Dell Reifenrath | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-31 |
| 1790251841 | Stephanie Eileen Voyles | Social Worker | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-16 |
| 1225511223 | Michael A. Amenta | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689723785 | Lyle C Burkle | Registered Nurse | 4101 Woolworth Ave Bldg 8, Omaha, NE 68105-1850 | 2007-01-09 |
| 1124200670 | Psychiatric Mental Healthcare PC | Registered Nurse | 9239 West Center Rd, Suite 222, Omaha, NE 68124 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023534823 | Mary Opp | Registered Nurse | 2039 Q St, Lincoln, NE 68503-3643 | 2017-08-14 |
| 1366994535 | Michael Purcell | Registered Nurse | 650 J St, Suite 100, Lincoln, NE 68508-2900 | 2016-11-03 |
| 1568768810 | Gail See | Registered Nurse | 2633 P St, Lincoln, NE 68503-3528 | 2011-02-03 |
| 1194020081 | Kirsten Stoll | Registered Nurse | 2000 P St, Lincoln, NE 68503-3630 | 2011-01-24 |
| 1427353309 | Shala Dawn Williams | Registered Nurse | 1000 S 13th St, Lincoln, NE 68508-3533 | 2011-01-24 |
| 1376858258 | Deborah Kuhlman | Registered Nurse | 2231 Lincoln Rd, Bellevue, NE 68005-3907 | 2010-08-16 |
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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.