DR. VICKI D THOMAS CARLENTINE (NPI# 1902311772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902311772 |
| Entity Type | Individual |
| Full Name | DR. VICKI D THOMAS CARLENTINE |
| Credential | DNP, FNP-BC, APRN |
| Practice Address |
9905 Sapp Brothers Dr Omaha NE 68138-3951 |
| Mailing Address |
7003 N 89th Ave Omaha NE 68122-5224 |
| Practice Telephone | 4026900475 |
| Mailing Telephone | 4026900475 |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2023 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
2023 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | APRN STATE LICENSE | 2023 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5757 Woodway Dr Ste 215, Houston, TX 770571533 | 8324267077 |
| Street Address |
9905 SAPP BROTHERS DR |
| City | OMAHA |
| State | NE |
| Zip Code | 68138-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205059789 | Thomas Jeffrey Mendick | Massage Therapist | 9905 Sapp Brothers Dr, Omaha, NE 68138-3951 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004513 | Pro Health Pain & Rehab LLC. | Chiropractor | 12744 Westport Parkway, Suite 1e, Lavista, NE 68138 | 2016-10-24 |
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1205165230 | Nina Dearmont Homan | Pharmacist | 10004 South 152nd St., Omaha, NE 68138 | 2009-12-22 |
| 1013131952 | Misty M Mitchell | Massage Therapist | 9905 Sapp Bros. Dr, Ste 4, Omaha, NE 68138 | 2007-04-12 |
| 1003105214 | Elizabeth Stephens Constance | Obstetrics & Gynecology | 7308 S 142nd St, Omaha, NE 68138 | 2011-03-29 |
| 1629244108 | Johanna L Hatcliff | Pharmacist | 14882 Giles Rd, Apt 101, Omaha, NE 68138-3148 | 2008-05-05 |
| 1700135084 | Kent R Brooks | Counselor | 14261 Rose Lane Rd, Omaha, NE 68138-3541 | 2012-09-02 |
| 1063878205 | Firstscan LLC | Clinic/Center | 9840 S 140th St, Suite 5, Omaha, NE 68138-3693 | 2016-01-04 |
| 1578509956 | Ah Pharmacy Services LLC | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2006-06-22 |
| 1003047507 | Professional Veterinary Products Ltd | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2009-07-31 |
| Find all providers in zip 68138 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336176916 | Kristine Morehead Hansen-cain | Nurse Practitioner | 987526 Nebraska Medical Ctr, Omaha, NE 68198-7526 | 2006-06-27 |
Please comment or provide details below to improve the information on DR. VICKI D THOMAS CARLENTINE.
| 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.