MS. KERI LAZURE (NPI# 1902864622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902864622 |
| Entity Type | Individual |
| Full Name | MS. KERI LAZURE |
| Credential | PA-C |
| Practice Address |
2206 Longo Dr Suite 201 Bellevue NE 68005-2977 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4022929170 |
| Practice Fax Number | 4022920119 |
| Mailing Telephone | 4023986255 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
894 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2206 LONGO DR SUITE 201 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755633 | Rebecca Kay Gehringer | Physical Therapist | 2206 Longo Dr, Bellevue, NE 68005-2977 | 2006-03-24 |
| 1821615337 | Nicole Weedman | Physician Assistant | 2206 Longo Dr, Bellevue, NE 68005-2901 | 2020-06-30 |
| 1144774191 | Bailee Shupp | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2901 | 2016-08-08 |
| 1093167942 | Daniel Klein | Physical Therapist | 2206 Longo Dr, #211, Bellevue, NE 68005-2901 | 2016-07-04 |
| 1649550070 | Nicole Sova | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2901 | 2011-08-16 |
| 1588991129 | Angela Sue Davis | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2977 | 2009-11-03 |
| 1629200621 | Bellevue Pediatric Center PC | Pediatrics | 2206 Longo Dr, #210, Bellevue, NE 68005-2977 | 2009-08-10 |
| 1598995292 | Sara Anne Pohl | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2977 | 2009-07-16 |
| 1023269818 | Omaha Vamc | Clinic/Center | 2206 Longo Dr, Bellevue, NE 68005-2901 | 2008-10-10 |
| 1710165204 | Anja E Armitage | Physician Assistant | 2206 Longo Dr, #201, Bellevue, NE 68005-2977 | 2008-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066130 | Neon Corpuz | Physician Assistant | 4932 163rd Pl Se, Bellevue, WA 98006-4733 | 2014-05-29 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1407124407 | Natalya Vlaskin | Physician Assistant | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2011-12-05 |
| 1831230911 | Nancy L Clark | Physician Assistant | 13033 Bellevue Redmond Rd, #110, Bellevue, WA 98005-2633 | 2007-02-09 |
| 1649326273 | Gary N Wellman | Physician Assistant | 301 116th Ave Se Ste 105, Suite #250, Bellevue, WA 98004-6482 | 2007-01-26 |
| 1164503314 | Bryna Dunaway Mccollum | Physician Assistant | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2006-10-17 |
| 1689201113 | Brenna Nicole Carlson | Physician Assistant | 2510 Bellevue Medical Center Dr Ste 145a, Bellevue, NE 68123-1556 | 2020-03-25 |
| 1356871404 | Nicole B Bazar | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2017-06-12 |
| 1861840332 | Miguel A Escalera | Physician Assistant | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2016-05-25 |
| 1538516927 | Rachel I Drayer | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004 | 2016-05-16 |
| Find all providers in BELLEVUE | ||||
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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.