JAY MITCHELL JEVNE (NPI# 1942849484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942849484 |
Entity Type | Individual |
Full Name | JAY MITCHELL JEVNE |
Credential | RN |
Practice Address |
1110 7th Ave Cumberland WI 54829-9138 |
Mailing Address |
529 N 72nd Ave Omaha NE 68114-3203 |
Practice Telephone | 7158227500 |
Mailing Telephone | 4026770574 |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-04-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
82387 | NE | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9972 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4101 Woolworth Ave, Omaha, NE 681051850 | 4029954840 |
Street Address |
1110 7TH AVE |
City | CUMBERLAND |
State | WI |
Zip Code | 54829-9138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
1750990347 | Jennifer Young | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-29 |
1700494804 | Jane Nickell | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-15 |
1023636461 | Cassandra Laurine Klatt | Health Educator | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-13 |
1619502275 | Nicholas Pedersen | Physician Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-03-04 |
1346880077 | Ashley Mikaila Quaderer | Occupational Therapy Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-01-10 |
1134778293 | Amanda Meleen | Speech-Language Pathologist | 1110 7th Ave, Cumberland, WI 54829-9138 | 2019-09-10 |
1578078341 | Deidri Sanderson | Technician, Pathology | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-12-02 |
1942726534 | Cumberland Memorial Hospital, Inc | Non-Pharmacy Dispensing Site | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-08-16 |
1235651522 | Craig Alexander Jennings | Family Medicine | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-07-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508100744 | Michelle Marie Miller | Licensed Practical Nurse | 2503 12th St., Cumberland, WI 54829 | 2012-11-10 |
1336492230 | Harriet Ailene Osumi | Occupational Therapist | 1220 Jeffery Blvd, Cumberland, WI 54829 | 2012-10-17 |
1497082663 | Optima Natural Health & Wellness, LLC | Chiropractor | 1320 2nd Ave, Cumberland, WI 54829 | 2009-11-10 |
1295982593 | Toftness Chiropractic Clinic LLC | Chiropractor | 1425 2nd Ave., Cumberland, WI 54829 | 2008-08-19 |
1114143740 | Heather Colleen Gaylord | Occupational Therapist | 1110 7th Street, Cumberland, WI 54829 | 2007-04-18 |
1598857518 | Jodi Lynne Griffith | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
1750494449 | Lee R Jacobson Od Sc | Optometrist | 1357 Second Ave, Cumberland, WI 54829 | 2006-08-16 |
1083917926 | Blue Hills Chiropractic LLC | Chiropractor | 1320 2nd Avenue, Cumberland, WI 54829 | 2010-12-15 |
1538389846 | Lee R Jacobson Od Sc | Eyewear Supplier (Equipment, not the service) | 1357 Second Ave, Cumberland, WI 54829 | 2007-04-27 |
1134211154 | Thomas Lee Toftness | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
Find all providers in zip 54829 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730797416 | Ascensions Wellness LLC | Nurse Practitioner | 618 N Mechanic St, Cumberland, MD 21502-2113 | 2020-07-17 |
1447621925 | Sarah Wempe | Nurse Practitioner | 300 East Oldtown Road Suite 1, Villa Maria of Mountain Maryland, Cumberland, MD 21502 | 2015-10-09 |
1073864203 | Howard J Faulkner | Nurse Practitioner | 208 N Centre St, Cumberland, MD 21502-2226 | 2012-09-27 |
1083227060 | Jessica Lynn Henderson | Nurse Practitioner | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2020-08-28 |
1063033702 | Zimela Wellness Center, LLC | Nurse Practitioner | 11602 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2020-05-05 |
1326580473 | Diana Dawn Pryor | Nurse Practitioner | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 | 2016-11-07 |
1679957120 | Allegany Behavioral Medicine | Nurse Practitioner | 517 E Oldtown Rd, Cumberland, MD 21502-3687 | 2015-07-15 |
1528479094 | Positive Progression, PC | Nurse Practitioner | 208 N Centre St, Cumberland, MD 21502-2226 | 2014-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
Find all providers with the same taxonomy |
City | CUMBERLAND |
Zip Code | 54829 |
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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.