ENCOUNTER TELEHEALTH, LLC (NPI# 1922342195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922342195 |
| Entity Type | Organization |
| Organization Name | ENCOUNTER TELEHEALTH, LLC |
| Other Organization Name | PROVIDER SOURCE, LLC |
| Practice Address |
900 S 74th Plz Ste 403 Omaha NE 68114-4667 |
| Practice Telephone | 8444853041 |
| Practice Fax Number | 8884974233 |
| Mailing Telephone | 8444853041 |
| Mailing Fax Number | 8884974233 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | KYLE PETSCHE (FINANCE & IT MANAGER) |
| Authorized Official Telephone | 4023982270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Provider Source, LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1307 S Shore Dr, Worthington, MN 561871344 | 8444853041 | 8884974233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427417997 | Encounter Telehealth, LLC | Nurse Practitioner | 2121 B Ave, Suite 3, Kearney, NE 68847-5476 | 2016-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ENCOUNTER TELEHEALTH, LLC | 900 South 74th Plaza, Suite 403, Omaha, NE 68114 |
| Street Address |
900 S 74TH PLZ STE 403 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1881123487 | Igotsober, LLC | Clinic/Center | 4905 Dodge St, Omaha, NE 68132-2961 | 2017-06-07 |
| 1942697735 | South Omaha Surgical Center LLC | Clinic/Center | 3201 S 24th St, Omaha, NE 68108-1825 | 2015-04-20 |
| 1790107753 | The Clearview Center, Incorporated | Clinic/Center | 105 S 49th St Ste K, Omaha, NE 68132-3252 | 2014-01-10 |
| 1316357676 | Think Aksarben, LLC | Clinic/Center | 7100 W Center Rd, Omaha, NE 68106-2714 | 2014-05-07 |
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|---|---|---|---|---|
| 1689209769 | Lincoln Joint & Wellness Care LLC | Clinic/Center | 4500 S 70th St Ste 117, Lincoln, NE 68516-4283 | 2020-03-09 |
| 1851737316 | St. Mary's Community Hospital | Clinic/Center | 1301 Grundman Blvd., Suite A, Nebraska City, NE 68410-3320 | 2013-05-10 |
| 1639427560 | Bprc LLC | Clinic/Center | 1610 S 70th St, Suite 102, Lincoln, NE 68506-1565 | 2012-08-27 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1730647611 | Complete Family Treatment Services | Clinic/Center | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2019-03-09 |
| 1902304702 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2018-01-26 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| 1710316237 | Banner Health Physicians Colorado LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2013-11-05 |
| 1689928467 | Banner Health Physicians West LLC | Clinic/Center | 1100 W 2nd St, Oshkosh, NE 69154-6152 | 2012-11-01 |
| 1295089076 | Banner Health Physicians West LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2012-11-01 |
| Find all providers with the same taxonomy | ||||
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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.