JAMIE MARIE MOLINE (NPI# 1902073703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902073703 |
| Entity Type | Individual |
| Full Name | JAMIE MARIE MOLINE |
| Credential | MA PLMHP |
| Practice Address |
1431 Kaila Dr Eagle NE 68347-1851 |
| Practice Telephone | 4022026965 |
| Mailing Telephone | 4022026965 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2010-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8589 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 96065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811489 | Jamie Christine Moline | Pharmacist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2016-10-04 |
| Street Address |
1431 KAILA DR |
| City | EAGLE |
| State | NE |
| Zip Code | 68347-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134294481 | Phillip Lee Isaacson | Chiropractor | 524 South 4th Street, Suite # 1, Eagle, NE 68347 | 2006-11-22 |
| 1659431369 | Henry C Furst | Dentist | 632 S 4th St, Eagle, NE 68347-0102 | 2006-12-11 |
| 1265519011 | Eagle Volunteer Fire Department | Ambulance | 701 S. 1st, Eagle, NE 68347-0126 | 2006-11-01 |
| 1831403559 | Village of Eagle | Ambulance | 701 S.1st St, Eagle, NE 68347-0130 | 2010-08-05 |
| 1790037851 | Stacy L Diekmann | Registered Nurse | 710 Maple Dr, Eagle, NE 68347-2110 | 2012-10-12 |
| 1740369206 | Cheryl A Vanmeveren | Counselor | 225 S 1st St Lot 44, Eagle, NE 68347-5010 | 2006-11-03 |
| 1285133645 | Molly Jo Johnson | Speech-Language Pathologist | 600 S 1st St, Eagle, NE 68347-5083 | 2018-02-12 |
| 1609232800 | Lindsey Wilson | Speech-Language Pathologist | 600 S 1st St, Eagle, NE 68347-5083 | 2016-01-05 |
| 1245841048 | Green Ribbon Mental Wellness and Family Health | Clinic/Center | 21903 Woodland Hills Cir, Eagle, NE 68347-7026 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1982211579 | Kaely Thompson | Registered Nurse | 4389 W Agave St, Eagle, ID 83616-5308 | 2020-09-28 |
| 1508472309 | Bruce Kahl | Preventive Medicine | 574 N Park Ln, Eagle, ID 83616-4512 | 2020-09-17 |
| 1407469166 | Mmg LLC | Nurse Practitioner | 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 | 2020-08-24 |
| 1609488303 | Spencer Reid Calhoun | Physical Therapist | 2411 E Riverside Dr Apt P308, Eagle, ID 83616-7573 | 2020-08-24 |
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1245841048 | Green Ribbon Mental Wellness and Family Health | Clinic/Center | 21903 Woodland Hills Cir, Eagle, NE 68347-7026 | 2020-08-14 |
| 1831717040 | Anna Richter | Specialist/Technologist | 1946 W Janet Ct, Eagle, ID 83616-3757 | 2020-07-14 |
| 1104441963 | Bluebird Hospice. LLC | Hospice Care, Community Based | 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 | 2020-06-08 |
| 1124642293 | Wellspring Behavioral Health, Inc | Counselor | 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616-6868 | 2020-06-03 |
| Find all providers in EAGLE | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1124642293 | Wellspring Behavioral Health, Inc | Counselor | 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616-6868 | 2020-06-03 |
| 1043859291 | Megan Koehler | Counselor | 507 S Fitness Pl Ste 110, Eagle, ID 83616-6552 | 2020-01-04 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1467700492 | Candice Radmall | Counselor | 1032 S Bridgeway Pl, Ste 100, Eagle, ID 83616 | 2012-08-23 |
| 1437281755 | Austin M Reed | Counselor | 593 E State St, Eagle, ID 83616-5938 | 2007-03-12 |
| 1205978095 | Carol Pangburn | Counselor | 3042 S Whitepost Way, Eagle, ID 83616-6461 | 2007-02-12 |
| 1740369206 | Cheryl A Vanmeveren | Counselor | 225 S 1st St Lot 44, Eagle, NE 68347-5010 | 2006-11-03 |
| Find all providers in EAGLE | ||||
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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.