JEREMY DON NICKERSON
NPI 1134626211
Peer Specialist in Grand Island, NE

NPI Status: Active since April 06, 2018

Contact Information

914 BAUMANN DR
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 385-5250
Fax: (308) 385-5271

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  • Individual
  • Male
  • Peer Specialist

About JEREMY NICKERSON

This page provides the complete NPI Profile along with additional information for Jeremy Nickerson, a provider established in Grand Island, Nebraska with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1134626211 assigned on April 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1134626211
Provider Name
JEREMY DON NICKERSON
Gender
Male
Entity Type
Individual
Location Address
914 BAUMANN DR GRAND ISLAND, NE 68803
Location Phone
(308) 385-5250
Location Fax
(308) 385-5271
Mailing Address
914 BAUMANN DR GRAND ISLAND, NE 68803
Mailing Phone
(308) 385-5250
Mailing Fax
(308) 385-5271
Is Sole Proprietor?
No
Enumeration Date
04-06-2018
Last Update Date
04-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134626211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641221222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 2 + 1 + 2 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1134626211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255377818MR. ALAN BAUMGARDNER PA-C
Individual
Physician Assistant914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1104910298MR. THOMAS EDWARD COOK LMHP, CMSW
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5252
1265527139MS. MARY C. ROCK PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1013097021MS. KARA N KLINGINSMITH LMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5252
1558439950 SANDRA EATON LMHP, LADC
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1487896882MRS. ARIEL LACHANDRA DERR PLMHP, NCC
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1316268022MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES
Organization
Clinic/Center (Community Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1316255649 ANGELA M RUNQUIST MSW, PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1194004762MRS. KERRY L ALFREY MA. PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1245575299MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1710228291MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, LLC
Organization
Community/Behavioral Health914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1699119222 JACQUELINE E COX MA, PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1124463823 BERNARD DAVID HASCALL MS
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1912319450 CHASE FRANCL MA, PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1245643717 REBEKAH ANN SHUNKWILER MA, PLMHP, PLADC
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1457754814 SAMANTHA HALSTEAD
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1558754945 MICHELLE D JACK LCSW
Individual
Social Worker (Clinical)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1043687700 JENNIFER PATRICIA CAMMON-LARSON PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1750753190 ASHLEY MARIE FLORES PLMHP
Individual
Counselor (Mental Health)914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250
1093243529 ANTHONY ALLEN VERONEE JR.
Individual
Counselor914 BAUMANN DR
GRAND ISLAND, NE 68803
(308) 385-5250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134626211, enumerated in the NPI registry as an "individual" on April 06, 2018

The provider is located at 914 Baumann Dr Grand Island, Ne 68803 and the phone number is (308) 385-5250

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on April 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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