JENNIFER A DORNBUSH (NPI# 1861877037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861877037 |
| Entity Type | Individual |
| Full Name | JENNIFER A DORNBUSH |
| Practice Address |
4920 South 30th Street Suite 103 Omaha NE 68107 |
| Mailing Address |
4920 South 30th Street Suite 103 Omaha NE 68107-1656 |
| Practice Telephone | 4027344110 |
| Practice Fax Number | 4029915642 |
| Mailing Telephone | 4027344110 |
| Mailing Fax Number | 4029915642 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F342964 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A141009 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4920 SOUTH 30TH STREET SUITE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321573 | Stella G Washington | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2006-08-31 |
| 1912451063 | Nancy Herrera | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-08-06 |
| 1689127409 | Adina Schuller Slomianski | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-07-28 |
| 1861875726 | Robert Grode | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2015-07-09 |
| 1841608833 | Jane Elizabeth Teeter | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2014-07-23 |
| 1801237623 | Kari Michelle Olbrey | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-07-09 |
| 1861730343 | Nivedita Sharma | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-01-17 |
| 1568761278 | Cori Anna Baquero-cruz | Dental Hygienist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-21 |
| 1891094975 | Marie D. Desmoineaux | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-15 |
| 1043515901 | Gloria E. Gonzalez-kruger | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-01-24 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1720697303 | Acacia Schulte-garcia | Nurse Practitioner | 5630 N 116th Cir, Omaha, NE 68164-1427 | 2020-07-29 |
| 1336775857 | Christina Lee Hoy | Nurse Practitioner | 986805 Nebraska Medical Ctr, Omaha, NE 68198-6805 | 2020-03-16 |
| 1144852666 | Margaret Messersmith | Nurse Practitioner | S 42nd & Emile St, Omaha, NE 68198-0001 | 2020-02-12 |
| 1881237766 | Ashlie Renae Zima | Nurse Practitioner | 16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 | 2019-10-23 |
| 1659920775 | Simone Yamdaare Redboy | Nurse Practitioner | 11348 Taylor St, Omaha, NE 68164-2341 | 2019-09-11 |
| 1316592629 | Megan Nicole Mertz | Nurse Practitioner | 1624 S 153rd St, Omaha, NE 68144-5145 | 2019-08-04 |
| Find all providers in OMAHA | ||||
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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.