RACHELE ANN TILLMAN (NPI# 1861983934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861983934 |
| Entity Type | Individual |
| Full Name | RACHELE ANN TILLMAN |
| Practice Address |
3568 Dodge St Ste 2 Omaha NE 68131-3222 |
| Practice Telephone | 4023450791 |
| Practice Fax Number | 4023450938 |
| Mailing Telephone | 4023450791 |
| Mailing Fax Number | 4023450938 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3568 DODGE ST STE 2 |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1669088993 | Bianca Y. Garcia | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1083220305 | Alise J. Baker | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1427664754 | Karen M Garrett | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1477108777 | Dawn M. Stroud | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1770138067 | Jaime E. Delahunty | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1891340196 | Wendy P Moreno | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1558926121 | Austine L Watske | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-05-08 |
| 1578128146 | Jarren L Breeling | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-05-08 |
| 1295248748 | Jim Edward Schuman | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2017-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| 1639544513 | Andrew Sodawasser | Counselor | 444 S 44th St., Omaha, NE 68131 | 2015-12-03 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867903 | Sober Coaching, LLC | Peer Specialist | 444 N 76th St, Omaha, NE 68114-3154 | 2018-04-04 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1669088993 | Bianca Y. Garcia | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1083220305 | Alise J. Baker | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1427664754 | Karen M Garrett | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1124631098 | Juan Cruz | Peer Specialist | 11550 I St Ste 100, Omaha, NE 68137-1222 | 2020-08-28 |
| 1477108777 | Dawn M. Stroud | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1770138067 | Jaime E. Delahunty | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1891340196 | Wendy P Moreno | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1558926121 | Austine L Watske | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-05-08 |
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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.