board member list -- publicdhhs.ne.gov/publichealth/documents/brdmbr.pdfboard member list -- public...

Division of Public Health

BOARD MEMBER LIST -- PUBLICCurrent as of

5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit

Advanced Practice Registered Nurses

Current Term

Expires

Effective Date

of First TermBoard Office

Telephone, Fax Number

& Email AddressName and Address

11/16/2015 11/30/2022Sheila J. Ellis, MD

9980 South 162nd Street

Omaha NE 68136

Phone #: (402) 559-4081

Fax #: (402) 559-7372

Email: [email protected]

Physician Member

12/01/2015 11/30/2020Jenna E. Fiala, MD

7311 South 96th Ct

Lincoln NE 68526

Phone #:

Fax #:

Email:

Physician Member

12/01/2014 11/30/2019Barbara J. Foss, APRN

808 Oxford Avenue

Elwood NE 68937

Phone #: (308) 324-1656

Fax #: (308) 324-1658


President

Nurse Practitioner Member

11/16/2015 11/30/2021Timothy P. Glidden, CRNA, MS

16132 Lafayette Avenue

Omaha NE 68118-2460

Phone #: (402) 559-4175

Fax #: (402) 559-7372


Certified Registered Nurse

Anesthetist Member

07/01/2007 11/30/2020Stephen B. Jackson, MPH

Douglas County Health Department

1819 Farnam Street, Room 403,

Civic Center

Omaha NE 68183-0403

Phone #: (402) 444-7227

Fax #: (402) 444-7478

Email:

[email protected]

Public Member

01/25/2016 11/30/2020Alice M. Kindschuh, DNP,

APRN-CNS

720 N 87th Street

Omaha NE 68114

Phone #: (402) 354-7845

Fax #: (402) 354-7130

Email:

[email protected]

Vice-President

Clinical Nurse Specialist

Member

12/01/2016 11/30/2021Michael A. Losee, MA

7411 South 18th Street

Lincoln NE 68512

Phone #: (402) 818-1123

Fax #:


Secretary

Public Member

12/01/2016 11/30/2021Michael G. Skoch, MD, MMM, CPE

2401 South 183rd Circle

Omaha NE 68130-2788

Phone #: (531) 329-8411

Fax #:

Email:

[email protected]

m

Physician Member

12/01/2017 11/30/2022Jenda M. Stauffer, APRN-CNM

17510 V Street

Omaha NE 68135

Phone #: (402) 884-6400

Fax #: (402) 884-0609

Email:

[email protected]

Certified Nurse Midwife

Member

of 32



Alcohol and Drug Counseling

Current Term

Expires

Effective Date




11/30/2015POSITION VACANT -

As of 12/01/2015

Phone #:

Fax #:

Email:

Alcohol and Drug Counselor

Member

Alcohol & Drug Counselor

only

04/02/2012 11/30/2022Christine L. Chasek, LIMHP, LADC

Box 3

Hildreth NE 68947

Phone #: (308) 865-8508

Fax #: (308) 234-5652



Member

11/17/2014 11/30/2021Lori K. Cleveland, LADC

c/o St. Francis Alcohol Drug

Treatment Center

2116 W. Faidley Avenue

Grand Island NE 68803

Phone #: (308) 398-5433

Fax #: (308) 398-5404


Vice-Chair


Member


only

11/14/2016 11/30/2022Jill M. Colegrove, LIMHP, LMHP,

LADC, LPC

1460 35th Avenue

Columbus NE 68601

Phone #: (402) 562-6767

Fax #: (402) 562-6770

Email:

[email protected]

Chairperson


Member


and Mental Health

Practitioner

12/01/2014 11/30/2019Jody R. Gilfillan, MAA, LADC

Alcohol & Drug Solutions

421 South 9th Street, Suite 205

Lincoln NE 68508

Phone #: (402) 601-4289

Fax #: (402) 475-7541

Email:

[email protected]


Member


only

12/01/2014 11/30/2019Tomeka C. Johnson

PO Box 641594

Omaha NE 68164

Phone #: (402) 885-7672

Fax #: (402) 991-1748

Email:

[email protected]

Secretary

Public Member

12/01/2015 11/30/2020Ian G. Lemmer

630 W 8th Street, Apt. 3

Fremont NE 68025

Phone #: (402) 753-1530

Fax #:


Public Member

11/15/2010 11/30/2018Natasha A. Robinson, LIMHP,

LCSW, LADC

13460 Walsh Drive

Boys Town NE 68010

Phone #: (402) 498-3008

Fax #: (402) 498-3375


Psychiatrist, Psychologist, or

Mental Health Practitioner

Member

09/20/2004 11/30/2018Marlene A. Schneider, BS, ACRPS,

LADC

7327 North 126th Avenue

Omaha NE 68142-1797

Phone #: (402) 390-6007

Fax #:



Member


only

of 32



Athletic Training

Current Term

Expires

Effective Date




09/19/2017 11/30/2021Amie J. Carnahan

7116 S 201st Street

Gretna NE 68028-3540

Phone #:

Fax #:

Email:

Public Member

12/01/2015 11/30/2020Rebecca L. Docter, MA, ATC, LAT

29011 Platte River Plaza

Waterloo NE 68069

Phone #: (402) 955-6534

Fax #: (402) 955-6529


Vice-Chair

Athletic Trainer Member

12/01/2009 11/30/2019Lisa M. Moore, ATC

16869 Camden Avenue

Omaha NE 68116

Phone #: (402) 218-9727

Fax #: (402) 715-1336


Chairperson


12/01/2016 11/30/2021Jessica R. Roberts, MS Ed, ATC

7325 N 106 Avenue

Omaha NE 68122

Phone #: (402) 559-0091

Fax #: (402) 561-0598



of 32



Audiology and Speech-Language Pathology

Current Term

Expires

Effective Date




12/01/2015 11/30/2020Katie Rybak Brennan, MS,

CCC-SLP

253 Barkley Memorial Center

P.O. Box 830738

Lincoln NE 68583-0738

Phone #: (402) 472-5439

Fax #: (402) 472-3814


Speech-Language

Pathologist Member

12/01/2015 11/30/2020Rhonda R. Dick, AuD, CCC-A

555 North 30th Street

Omaha NE 68131

Phone #: (402) 498-6650

Fax #: (402) 452-5015


Vice-Chair

Audiologist Member

12/01/2009 11/30/2019Craig A. Foss, AuD

2421 W. Faidley


Phone #: (308) 384-2101

Fax #: (308) 381-4787


Chairperson

Audiologist Member

12/01/2009 11/30/2019Jana M. Green, CCC-SLP

447 S. Logan

Minden NE 68959

Phone #: (308) 832-2460

Fax #: (308) 832-2647


Secretary

Speech-Language

Pathologist Member

12/01/2014 11/30/2019David C. Vann, JD, MS


Lincoln NE 68510

Phone #: (402) 471-7569

Fax #:


Public Member

of 32



Chiropractic

Current Term

Expires

Effective Date




12/01/2014 11/30/2019Maryann Gamble

3739 Pinehill Road

Bellevue NE 68123

Phone #: (402) 397-9866

Fax #: (402) 397-1404

Email:

[email protected]

Secretary

Public Member

12/01/2011 11/30/2021David W. Lauer, DC

6132 Havelock Avenue

Lincoln NE 68507

Phone #: (402) 467-5143

Fax #: (402) 467-5145


Chiropractor Member

12/01/2014 11/30/2019Jeremiah J. Rethwisch, DC

18010 R Plaza, Suite 104

Omaha NE 68135

Phone #: (402) 408-6561

Fax #:


Vice-Chair

Chiropractor Member

12/01/2010 11/30/2020Mark G. Wurth, DC

3811 Dodge Street

Omaha NE 68131

Phone #: (402) 551-1322

Fax #: (402) 551-3454


Chairperson

Chiropractor Member

of 32



Cosmetology, Electrology, Esthetics, Nail Technology, and Body Art

Current Term

Expires

Effective Date





As of 11/02/2015

Phone #:

Fax #:

Email:

Public Member


As of 12/01/2014

Phone #:

Fax #:

Email:

Tanning Salon Owner

11/19/2012 11/30/2020Bridget S. Anderson

PO Box 83966


Phone #: (402) 476-1021

Fax #: (402) 476-8033


Secretary

Public Member

12/01/2015 11/30/2020Sandra Kay Christie

2121 W Saddlehorn Rd

Lincoln NE 68523

Phone #: (402) 483-4754

Fax #:

Email:

Salon Owner Member

12/01/2012 11/30/2022Vicki R. Criswell

PO Box 53

Plattsmouth NE 68048-0053

Phone #: (402) 613-4144

Fax #:

Email:

Vice-Chair

Esthetician Member

12/01/2008 11/30/2018Lyra J. Faltys

PO Box 353

Howells NE 68641

Phone #: (402) 986-1377

Fax #:

Email:

Cosmetologist Member

Shear Designs, Howells &

Parkview Home, Dodge

01/24/2017 11/30/2019Gloria E. Harper, RN, LE, CE

11016 Hilltop Avenue

Omaha NE 68164

Phone #: (402) 699-6972

Fax #:


Electrologist Member

06/19/2017 11/30/2021Jacqueline J. Hornig

Xenon International Academy II

8456 Park Drive

Omaha NE 68127

Phone #: (402) 697-2398, ext. 6

Fax #: (402) 697-2396


School Owner Member

11/16/2009 11/30/2020Melanie M. Judkins

2727 S. 48th Ave

Omaha NE 68106

Phone #: (402) 885-8282

Fax #: (402) 885-8282


Chairperson

Body Art Practitioner Member

Black Squirrell Tattoo, Omaha

03/20/2018 11/30/2020Ruth J. Lucas

601 East 6th Street

McCook NE 69001

Phone #: (308) 340-1093

Fax #:


Cosmetology Instructor

Member

12/01/2017 11/30/2022Marie F. Nordboe

239 W 6th Street

Fremont NE 68025

Phone #: (402) 721-1328

Fax #:


Cosmetologist Member

of 32



12/01/2009 11/30/2019Becky J. Pettigrew

525 N Main Street

Valentine NE 69201

Phone #: (402) 376-3339

Fax #:

Email:

Nail Technician Member

Nails by Becky, Valentine

12/01/2014 11/30/2019Pamela A. Rowland

11013 Oak Street

Omaha NE 68144

Phone #:

Fax #:


Nail Technology Instructor or

Esthetics Instructor Member

of 32



Dentistry

Current Term

Expires

Effective Date




01/24/2017 11/30/2020Yoshiharu Ameku, DDS

UNMC College of Dentistry

4000 East Campus Loop South


Phone #: (402) 472-9846

Fax #: (402) 472-5290


Dental School Faculty

Member

12/01/2011 11/30/2021Dennis M. Anderson, DDS, MS


Omaha NE 68164

Phone #: (402) 493-9429

Fax #: (402) 493-4746


Chairperson

Dentist Member

12/01/2009 11/30/2019Charles D. Bauer, DDS

Bauer and Howard Dental Care

2115 North Kansas, Suite 210

Hastings NE 68901

Phone #: (402) 462-6410

Fax #: (402) 462-4463


Dentist Member

01/24/2017 11/30/2021David A. Blaha, DDS

Creighton University, School of

Dentistry

780729 California Plaza

Omaha NE 68178-0729

Phone #: (402) 280-5017

Fax #: (402) 280-5094


Dental School Faculty

Member

12/01/2015 11/30/2020Dean D. Cope, DDS

P.O. Box 57

Cambridge NE 69022

Phone #: (308) 697-3736

Fax #: (308) 697-3705


Dentist Member

12/01/2009 11/30/2019Cynthia R. Gaskill, RDH, MAE

1417 W. Hwy 34

Aurora NE 68818

Phone #: (402) 461-2477

Fax #: (402) 461-2477


Secretary

Dental Hygienist Member

12/01/2014 11/30/2019Lisa M. Kucera, RDH, BGS

16402 Crestfield Drive

Omaha NE 68136

Phone #: (712) 388-6807

Fax #:


Vice-Chair

Dental Hygienist Member

12/01/2009 11/30/2019Mary C. Sneckenberg

5739 NW 14th St.

Lincoln NE 68521

Phone #:

Fax #:

Email:

Public Member

12/01/2014 11/30/2019Gregory M. Thomas

Dyer Law

10730 Pacific Street, Suite 111

Omaha NE 68114

Phone #: (402) 639-1616

Fax #: (402) 391-2289


Public Member

12/01/2014 11/30/2019John B. Thomas, DMD

8601 Harrison Street

La Vista NE 68128-2935

Phone #: (402) 331-9500

Fax #: (402) 597-3228


Dentist Member

of 32



Emergency Medical Services

Current Term

Expires

Effective Date




10/23/2008 03/16/2015POSITION VACANT -

As of 03/16/2015

Phone #:

Fax #:

Email:

Public Member


As of 10/13/2015

Phone #:

Fax #:

Email:

Public Member

04/28/2015 12/01/2018Michael D. Bailey

P.O. Box 129

79007 Highway 183

Ansley NE 68814

Phone #: (308) 935-1783

Fax #: (308) 935-1106


Paramedic Member

04/26/2012 12/01/2017Gary (Randy) Boldt

1804 South 190th Plaza

Omaha NE 68130

Phone #:

Fax #:

Email:

First Responder or

Emergency Medical

Responder Member

12/12/2012 12/01/2017John S. Bonta, MD, FACEP


Lincoln NE 68506

Phone #: (402) 481-8644

Fax #: (402) 481-5174

Email:

Physician Member

12/12/2012 12/01/2017Karen Kae Bowlin, NREMT

400 Road West 30

Ogallala NE 69153

Phone #: (308) 221-6419

Fax #:


Approved Training Agency

Representative Member

11/01/2000 12/01/2021Joel E. Cerny

1618 Denver Street

Schuyler NE 68661

Phone #: (402) 563-8853

Fax #: (402) 666-5516


First Responder or

Emergency Medical

Responder Member

Chairman Out-of-Hospital;

Service Programs; NSVFA

Liaison

12/20/2011 12/01/2021Thomas J. Deegan, MD, FAAP

Emergency Dept., Children's

Hospital & Medical Center

8200 Dodge Street

Omaha NE 68114-4113

Phone #: (402) 955-5150

Fax #: (402) 955-5125


Physician Member

09/21/2007 12/01/2017Ann F. Fiala

450 South Main Street

Ainsworth NE 69210

Phone #: (402) 387-1000

Fax #: (402) 387-1015


Vice-Chair

Emergency Medical

Technician Member

Protocol/NARSIS & Scope of

Practice; Service Programs;

Site Visit

10/23/2008 12/01/2018Donald L. Harmon

2309 Grant

Beatrice NE 68310

Phone #: (402) 645-3310

Fax #: (402) 645-3397


Physician Assistant Member

Service Program; Training

Agencies

02/11/2009 12/01/2018Troy G. Hiemer

3 Lakewood Drive

Columbus NE 68601-6240

Phone #: (402) 563-3396

Fax #: (402) 563-0937

Email:

[email protected]

Emergency Medical

Technician Member

Out of Hospital; Training

Agencies

of 32



12/11/2006 12/01/2021Linda Lee Jensen

Immanuel Emergency

6901 N 72 St

Omaha NE 68122-1709

Phone #: (402) 572-3169

Fax #: (402) 572-2987


Registered Nurse Member

Out of Hospital;

Protocol/NARSIS & Scope of

Practice

12/02/2013 12/01/2018Charles A. LaFollette


Lincoln NE 68526

Phone #: (402) 509-8003

Fax #: (888) 326-8101


Member at Large

12/12/2012 12/01/2017Michael G. Miller, EdD, MS, RN,

NRP

Creighton University - EMS

Education

2514 Cuming Street

Omaha NE 68131

Phone #: (402) 280-1280

Fax #: (402) 280-1288


Member at Large

01/31/2012 12/01/2016Carl L. Rennerfeldt


Blair NE 68008

Phone #:

Fax #:

Email:

Emergency Medical

Technician-Intermediate or

Advanced Emergency

Medical Technician Member

12/11/2006 12/01/2021James E. Smith, MD

Great Plains Regional Medical

Center

601 West Leota St, PO Box 1167

North Platte NE 69103

Phone #: (308) 696-8760

Fax #: (308) 696-7459


Chairperson

Board-Certified Emergency

Physician Member

Protocols/NARSIS & Scope

of Practice; Training

Agencies

12/11/2006 12/01/2021Scott C. Wiebe

901 N Cotner Blvd

Lincoln NE 68505

Phone #: (402) 441-7034

Fax #:


Secretary

Paramedic Member

Chairman Service Programs;

Training Agencies;

Complaint Screening

of 32



Funeral Directing and Embalming

Current Term

Expires

Effective Date




09/19/2017 11/30/2020Lawrence J. Battaglia, LLB


Omaha NE 68124-3345

Phone #:

Fax #:


Vice-Chair

Public Member

01/23/2012 11/30/2021Steven C. Brunken

4620 Bingham Court

Lincoln NE 68516

Phone #: (402) 451-1000

Fax #: (402) 451-8960


Funeral Director and

Embalmer Member

12/01/2015 11/30/2020Leo P. Seger

P.O. Box 99

Atkinson NE 68713

Phone #: (402) 925-5420

Fax #: (402) 925-2720


Chairperson


Embalmer Member

12/01/2014 11/30/2019Arvid D. Wiest

1116 N 19th Street

Beatrice NE 68310

Phone #: (402) 223-4096

Fax #: (402) 223-4097


Secretary


Embalmer Member

of 32



Hearing Instrument Specialists

Current Term

Expires

Effective Date




09/16/2013 11/30/2018Marc A. Brennan, PhD

Boys Town National Research

Hospital


Omaha NE 68131

Phone #: (402) 498-6553

Fax #: (402) 452-5015

Email:

Chairperson

Audiologist Member

12/01/2014 11/30/2019Edward G. Granger, HIS

7829 Chicago Plaza

Omaha NE 68114

Phone #: (402) 933-1453

Fax #: (402) 763-8872


Hearing Instrument Specialist

Member

06/16/2014 11/30/2018Misti M. Lutt-Chmiel, NBC-HIS

AT HOME HEARING

3231 Ramada Road, Suite #5

Grand Island NE 68801-8815

Phone #: (308) 382-9282

Fax #:


Vice-Chair


Member

12/26/2011 11/30/2021Sandra K. Miller, AuD

4200 Pioneer Woods Drive, Suite A

Lincoln NE 68506

Phone #: (402) 489-4418

Fax #: (402) 489-2268


Secretary


Member

11/15/2010 11/30/2020Michael (Mick) P. Pierce

7430 Adams Street

Lincoln NE 68507

Phone #:

Fax #:

Email:

Public Member

09/19/2017 11/30/2021Aaron D. Robinson, MD

575 South 70th Street, Suite 440

Lincoln NE 68510

Phone #: (402) 484-5500

Fax #:


Otolaryngologist Member

of 32



Massage Therapy

Current Term

Expires

Effective Date




12/01/2008 11/30/2018Kimberly Adams Johnson, LMT

770 North Cotner, Suite 408

Lincoln NE 68505

Phone #: (402) 310-0604

Fax #:


Chairperson

Massage Therapist Member

09/16/2013 11/30/2018Brian T. Allison, FACHE

8200 Dodge Street

Omaha NE 68114

Phone #: (402) 955-4111

Fax #:


Vice-Chair

Public Member

12/01/2016 11/30/2021Steven E. Carper, MBA, BS, LMT

Omaha School of Massage Therapy


Omaha NE 68127

Phone #: (402) 331-3694

Fax #:


Secretary


12/01/2015 11/30/2020Michele R. Helaney, BS, LMT,

BCTMB, CPT. WLS

13803 Industrial Road

Omaha NE 68137

Phone #: (402) 215-6017

Fax #:



of 32



Medical Nutrition Therapy

Current Term

Expires

Effective Date





As of 12/01/2015

Phone #:

Fax #:

Email:

Public Member

12/01/2014 11/30/2019Nancy L. Bertolino, MS, RD, LMNT

5210 Woodlane Drive

Papillion NE 68133

Phone #: (402) 312-1600

Fax #: (402) 391-4924


Vice-Chair

Medical Nutrition Therapist

Member

12/01/2013 11/30/2018Cristina Fernandez, MD

601 N. 30th St., Suite 6820

Omaha NE 68131

Phone #: (402) 280-4580

Fax #: (402) 280-4159


Physician Member

03/20/2018 11/30/2020Elizabeth A. Kenyon, RDN, LMNT

140720 Experiment Farm Road

Mitchell NE 69357

Phone #:

Fax #:

Email:


Member

12/01/2014 11/30/2019Crystal M. Zabka Belsky, MS, RD,

CSSD, LMNT

8715 Oak Street

Omaha NE 68124

Phone #: (402) 333-0898, ext. 1003

Fax #: (402) 333-0988

Email:

[email protected]

Chairperson


Member

of 32



Medical Radiography

Current Term

Expires

Effective Date




12/01/2010 11/30/2020Brandon D. Holt, BSRT, (ARRT)

Lexington Regional Health Center

PO Box 980, 1201 N. Erie

Lexington NE 68850

Phone #: (308) 324-8331

Fax #:


Chairperson

Medical Radiographer

Member

12/01/2008 11/30/2022Denise E. Logan, RT

7751 Lowell Avenue

Lincoln NE 68506

Phone #: (402) 481-6026

Fax #: (402) 481-6055


Vice-Chair


Member

12/01/2008 11/30/2018Francine M. Oran

8800 O Street

Lincoln NE 68520

Phone #: (402) 437-2764

Fax #: (402) 437-2404


Secretary

Limited Radiographer

Member

12/01/2008 11/30/2019James B. Temme, MPA, RT (R)

(QM)

984545 NE Medical Center

UNMC

Omaha NE 68198-4545

Phone #: (402) 559-6954

Fax #: (402) 559-4667



Member

12/01/2016 11/30/2021Denise K. Tomek, RT (R) (M) (QM)

Columbus Community Hospital

4600 38th Street, PO Box 1800

Columbus NE 68601

Phone #: (402) 562-3183

Fax #: (402) 562-3187



Member

of 32



Medicine and Surgery

Current Term

Expires

Effective Date




12/01/2009 11/30/2019Michael J. Bittles, MD

430 N. Monitor Street

West Point NE 68788-1595

Phone #: (402) 372-2404

Fax #: (402) 372-2360


Physician Member

09/16/2013 11/30/2021Mark D. Goodman, MD

2412 Cuming Street

Omaha NE 68131

Phone #: (402) 717-0380

Fax #: (402) 717-6059


Chairperson

Medical School Faculty

Member

11/19/2007 11/30/2019Merle J. Henkenius

2611 N. 75th Street


Phone #: (402) 467-1935

Fax #:

Email:

Public Member

03/21/2011 11/30/2019Jeffrey L. Howorth

8888 Greenwood Road

Plattsmouth NE 68048

Phone #: (402) 679-8333

Fax #:

Email:

Public Member

12/01/2017 11/30/2022John R. Massey, MD

4130 Pioneer Woods Drive, Suite 4

Lincoln NE 68506

Phone #: (402) 858-0117

Fax #:


Secretary

Physician Member

12/01/2008 11/30/2018Judith A. Scott, DO

717 North 192nd Plaza

Omaha NE 68022

Phone #: (402) 815-1994

Fax #:


Osteopathic Physician

Member

03/22/2004 11/30/2018Carl V. Smith, MD

983255 Nebraska Medical Center

Omaha NE 68198-3255

Phone #: (402) 559-2711

Fax #: (402) 559-2700


Medical School Faculty

Member

12/01/2015 11/30/2020Todd W. Stull, MD

DHHS, Division of Behavioral Health

301 Centennial Mall South, 5th Flr,

PO Box 95026


Phone #: (402) 471-7795

Fax #: (402) 471-7859


Vice-Chair

Physician Member

of 32



Mental Health Practice

Current Term

Expires

Effective Date




11/19/2012 11/30/2019Dale G. Battleson, PhD

Great Oaks Counseling

13906 Gold Circle, Suite 202

Omaha NE 68144-2336

Phone #: (402) 932-6500, ext. 104

Fax #: (402) 932-6504


Certified Marriage and Family

Therapist Member

09/20/2016 11/30/2019Chante Chambers

1313 Farnam Street, 3rd FLR

Omaha NE 68102

Phone #: (402) 595-1427

Fax #:


Public Member

09/19/2017 11/30/2018Cassandra M. Dittmer, LIMHP,

LMFT

5001 Central Park Drive, # 100

Lincoln NE 68504

Phone #: (402) 742-8852

Fax #: (402) 477-0081


Certified Marriage and Family

Therapist Member

03/16/2009 11/30/2021Susan R. Feyen, LICSW

5115 F Street

Omaha NE 68117

Phone #: (402) 616-3801

Fax #: (402) 397-1404

Email:

[email protected]

Chairperson

Certified Master Social

Worker Member

12/01/2008 11/30/2018William D. Gaughan

1530 S 108th Street

Omaha NE 68144

Phone #: N/A

Fax #: N/A

Email: N/A

Public Member

11/14/2016 11/30/2020L. Janeen Gill, MS, LIMHP, LMHP,

LPC, PCDGC

Serenity Counseling

1300 East 4th St, Ste H

North Platte NE 69101-4393

Phone #: (308) 221-1235

Fax #: (308) 532-4342


Licensed Mental Health

Practitioner Member

03/20/2017 11/30/2018Tamara L. Kenning, LIMHP, LPC,

CPC, LADC


P.O. Box 303

Seward NE 68434

Phone #: (402) 643-4954

Fax #: (531) 727-2073


Certified Professional

Counselor Member

12/01/2010 11/30/2020Thomas Z. Maxson, MS, LIMHP,

LADC, SAP

3720 Avenue A, Suite E

Kearney NE 68847

Phone #: (308) 234-5644

Fax #: (308) 234-5652


Licensed Mental Health

Practitioner Member

11/17/2014 11/30/2020Terrance R. Moore, MSW

2255 S 132nd Street, Suite 200

Omaha NE 68144

Phone #: (402) 334-1122

Fax #: (402) 334-8171


Vice-Chair

Certified Master Social

Worker Member

03/10/2008 11/30/2021Sarita 'Sarah' L. Ruma, MS, LMHP,

CPC

1000 North 90th St., Suite 200

Omaha NE 68114

Phone #: (402) 955-3936

Fax #: (402) 955-3920


Secretary

Certified Professional

Counselor Member

of 32



Nebraska Center for Nursing Board

Current Term

Expires

Effective Date





As of 06/22/2015

Phone #:

Fax #:

Email:

Member Recommended by

State Board of Health

06/30/2017 06/21/2020Tamara J. Allen, BSN

527 N Diers Avenue, Suite 3


Phone #: (308) 675-3211

Fax #: (308) 675-3216


Member Selected by

Governor

08/31/2016 06/21/2019Lina D. Bostwick, EdD, RN, CNE,

ANAI-F

7730 N Hazelwood Drive

Lincoln NE 68510

Phone #: (402) 481-8717

Fax #: (402) 481-8421


Member Selected by

Governor

08/19/2014 06/21/2020Kathy L. Bowman, RN

1307 10th Avenue

Central City NE 68826

Phone #: (308) 754-4421, ext 290

Fax #: (308) 754-5825


Hospital Industry

Representative Selected by

Governor

07/23/2012 06/21/2018Liane M. Connelly, Ph.D, RN

Northern Division UNMC College of

Nursing

801 E. Benjamin Avenue

Norfolk NE 68701

Phone #: (402) 844-7895

Fax #: (402) 844-7926


Chairperson

Nurse Educator

Recommended by the Board

of Regents of the University

of Nebraska

03/10/2015 06/21/2020Suszanne D. Deyke, MSN, RN, CEN

3385 Prairie Lane

Columbus NE 68601-1441

Phone #: (402) 562-3191

Fax #: (402) 562-3199


Registered Nurse Selected

by Governor

06/22/2013 06/21/2020Kayleen D. Dudley, RN, BSN, LNHA

9209 S 30 Street

Lincoln NE 68516

Phone #: (402) 540-8052

Fax #:

Email:

[email protected]

Member Selected by

Governor

08/31/2016 06/21/2019Charity M. Ebert, MSN, RN

4720 Randolph Street

Lincoln NE 68510

Phone #: (402) 484-9652

Fax #: (402) 484-9695


Long-Term Care Industry

Representative Selected by

Governor

08/31/2016 06/21/2019Teresa K. Faith, LPN

35727 Rd 732

PO Box 194

Palisade NE 69040

Phone #: (308) 882-5333

Fax #:

Email:

Licensed Practical Nurse

Selected by Governor

08/31/2016 06/21/2019Christi N. Glesmann, EdD, MSN,

RN-BC

College of Saint Mary

7000 Mercy Rd

Omaha NE 68106

Phone #: (402) 399-2642

Fax #: (402) 399-2654


Nurse Educator

Recommended by the

Nebraska Association of

Independent Colleges and

Universities

07/17/2012 06/21/2018Cindy J. Hadenfeldt, EdD, RN

Creighton University, College of

Nursing


Omaha NE 68178

Phone #: (402) 280-2003

Fax #: (402) 280-2045




of 32



04/14/2015 06/21/2020Kathy A. Harrison, MSN, RN

Mid-Plains Comm. College, Health

and Science Center

601 West State Farm Road


Phone #: (308) 221-6408

Fax #: (308) 221-6796


Nurse Educator

Recommended by the

Nebraska Community

College Association

06/22/2013 06/21/2019Anna J. May, MSN, BA, RN-BC,

CEN, CPEN

437 S 159 Avenue

Omaha NE 68118-2134

Phone #: (402) 763-3070

Fax #:



by Governor

04/10/2017 06/21/2018Dorothy J. Scrivner, MA, BSN, RN,

NEA-BC

Children's Hospital and Medical

Center

8200 Dodge Street

Omaha NE 68114-4113

Phone #: (402) 955-5126

Fax #: (402) 955-5125




06/22/2013 06/21/2019Pamela J. Uhlir, RN, MSN

53 Summerhaven Lake

Kearney NE 68847-9422

Phone #:

Fax #:



by Governor

08/19/2014 06/21/2020Lisa A. Walters, RN, BSN, MSHSM

906 N Boxelder Street

Norfolk NE 68701

Phone #: (402) 750-3796

Fax #:

Email:

Member Selected by

Governor

of 32



Nursing

Current Term

Expires

Effective Date




11/16/2009 11/30/2020Janet L. Andrew, LPN-C

1516 L Street

Auburn NE 68305

Phone #: (402) 274-6123

Fax #: (402) 274-6134


Vice-President

Practical Nurse Member

Acute

03/15/2016 11/30/2021Anne V. Dey, DNP, RN, BC-NE

5604 Farnam Street

Omaha NE 68132

Phone #: (402) 955-4437

Fax #:


Nursing Service Administrator

Member

09/19/2011 11/30/2018Maxine M. Guy, LPN

4934 Pratt Street

Omaha NE 68104

Phone #: (402) 690-0992

Fax #: (402) 457-1967


Practical Nurse Member

11/16/2015 11/30/2020Louise M. LaFramboise, PhD, RN,

CNE

University of Nebraska Medical

Center, College of Nursing


Omaha NE 68198-5330

Phone #: (402) 559-6535

Fax #: (402) 559-9666


Baccalaureate Nurse

Educator Member

09/19/2016 11/30/2020Patricia E. Motl, BSN, RN, CPN,

CHEP

3979 South 152nd Plz

Omaha NE 68144-5539

Phone #: (402) 955-7976

Fax #: (402) 955-5601


Staff Nurse Member

Community-Based

12/01/2014 11/30/2019Kristene J. Perrin, RN

3521 Ave D, Apartment 1D

Scottsbluff NE 69361

Phone #: (308) 630-1474

Fax #:

Email:

Staff Nurse Member - Acute

11/14/2016 11/30/2019Kristin M. Ruiz, MN, RN

Southeast Community College

4771 West Scott Road

Beatrice NE 68310

Phone #: (402) 228-8263

Fax #: (402) 228-8217 (Main Campus

FAX No.)


Practical Nurse Educator

Member

03/24/2014 11/30/2018Dawn A. Straub, MSN, RN, NEA-BC

The Nebraska Medical Center


Omaha NE 68198-7447

Phone #: (402) 559-7579

Fax #: (402) 559-9676


President

Nursing Service Administrator

Member

11/13/2017 11/30/2018LaFonda D. Tanner

2005 Winnie Drive, #2

Bellevue NE 68005

Phone #: (972) 791-1224

Fax #:

Email:

[email protected]

Public Member

11/17/2014 11/30/2018Rita M. Thalken

1616 N 25th Street

Lincoln NE 68503

Phone #:

Fax #:

Email:

Public Member

12/02/2009 11/30/2019Karen K. Weidner, RN, MSN, CPNP

Northeast Community College

801 East Benjamin Avenue

Norfolk NE 68701

Phone #: (402) 844-7330

Fax #: (402) 844-7940


Secretary

Associate Degree or Diploma

Nurse Educator Member

of 32



12/01/2016 11/30/2021Katherine "Katie" J. Werth, APRN,

MSN, RN, FNP-C, CBN, CLNC

2908 N 161st Avenue

Omaha NE 68116

Phone #: (402) 510-7576

Fax #:


Advanced Practice


of 32



Nursing Home Administration

Current Term

Expires

Effective Date




12/01/2009 11/30/2019Scott A. Bahe, NHA

PO Box 429

Gothenburg NE 69138

Phone #: (308) 537-7138

Fax #: (308) 537-7130


Proprietary Home Member

06/20/2011 11/30/2020Amy M. Fish

1001 South Street

Lincoln NE 68502

Phone #: (402) 441-7101

Fax #: (402) 441-7118


Proprietary Home Member

12/01/2009 11/30/2019Renea B. Gernant, PhD

P.O. Box 105

Louisville NE 68037-0105

Phone #: (402) 643-1113

Fax #:


Secretary

College Faculty Member

12/01/2013 11/30/2018Kathryn M. Hajj, MD

6030 Rosebud Circle

Lincoln NE 68516

Phone #: (402) 488-4861

Fax #: (402) 488-4864


Physician Member

12/01/2010 11/30/2020Karen E. Jones

819 S 185th Street

Elkhorn NE 68022

Phone #:

Fax #:

Email:

Public Member

03/15/2010 11/30/2019Kevin L. Moriarty

1320 11th Avenue

Holdrege NE 68949

Phone #: (308) 995-8631

Fax #: (308) 995-8636


Nonprofit Home Member

12/01/2005 11/30/2018C. Dean Schmid

705 S 4th Street

Albion NE 68620

Phone #:

Fax #:

Email:

Public Member

12/01/2013 11/30/2018Debra L. Sutton, RN, BS, NHA

70740 573rd Avenue

Endicott NE 68350

Phone #: (402) 729-5220

Fax #: (402) 729-3391


Chairperson


11/19/2012 11/30/2020Alexander G. Willford, NHA

Grand Island Veterans Home: Attn

Alex Willford, Administrator

2300 West Capital


Phone #: (308) 385-6252, ext. 231

Fax #: (308) 385-6009


Vice-Chair

Nonprofit Home Member

of 32



Occupational Therapy Practice

Current Term

Expires

Effective Date




12/01/2017 11/30/2022Alfred G. Bracciano, EdD, OTR/L,

FAOTA

1002 Bailey Drive

Papillion NE 68046

Phone #: (402) 280-4906

Fax #: (402) 280-5692


Vice-Chair

Occupational Therapist or

Occupational Therapy

Assistant Member

12/01/2016 11/30/2021Marcus A. Doughty, OTD, OTR/L,

CHT

2302 Birchwood Rd


Phone #: (308) 530-5496

Fax #: (308) 696-8637


Chairperson

Occupational Therapist

Member

12/14/2015 11/30/2020Nancy M. Peetz

7881 North Hwy 83


Phone #:

Fax #:

Email:

Public Member

12/01/2008 11/30/2018Linda M. Storz, OTR/L, CDRS

5401 South Street

Lincoln NE 68506

Phone #: (402) 413-3654

Fax #: (402) 413-3909


Secretary

Occupational Therapist

Member

of 32



Optometry

Current Term

Expires

Effective Date




12/01/2009 11/30/2019Prof. Michael J. O'Hara, JD, PhD

University of Nebraska - Omaha

Mammel Hall 228, 6708 Pine Street

Omaha NE 68182-0048

Phone #: (402) 554-2823

Fax #: (402) 554-2680


Secretary

Public Member

12/01/2010 11/30/2020Jeffrey W. Pape, OD

3610 West Norfolk Avenue

Norfolk NE 68701

Phone #: (402) 371-8230

Fax #: (402) 371-3911


Chairperson

Optometrist Member

09/16/2013 11/30/2019Robert S. Vandervort, OD

9900 Nicholas Street, Suite 275

Omaha NE 68114

Phone #: (402) 493-6500

Fax #: (402) 493-4370


Vice-Chair

Optometrist Member

12/01/2016 11/30/2021Theodore R. Vorhies, OD

651 North 66th Street, Suite 300

Lincoln NE 68505

Phone #: (402) 464-3156

Fax #: (402) 464-1214


Optometrist Member

of 32



Pharmacy

Current Term

Expires

Effective Date




09/19/2016 11/30/2018Sabrina L. Beck, PharmD, RP

7500 Mercy Road

Omaha NE 68124

Phone #: (402) 398-6181

Fax #: (402) 398-6096


Vice-Chair

Hospital Pharmacist Member

09/19/2016 11/30/2021Charlene M. Dunbar, RHIA

1824 Devoe Drive

Lincoln NE 68506

Phone #:

Fax #:

Email:

Secretary

Public Member

12/01/2009 11/30/2019Patricia "Patty" J. Gollner, PharmD,

RP

Keith's Medical Park Pharmacy

2115 N Kansas Avenue, Suite 101

Hastings NE 68901

Phone #: (402) 463-0515

Fax #: (402) 463-5254


Pharmacist Member

12/01/2010 11/30/2020Kenneth "Ken" L. Saunders, RP,

PharmD, TTS


Omaha NE 68116

Phone #: (402) 717-8270

Fax #: (402) 717-8271


Chairperson

Pharmacist Member

03/20/2018 11/30/2021Angela K. Svoboda, PharmD,

FIACP, RP

47547 812th Road

Ord NE 68862

Phone #: (308) 728-3295

Fax #: (308) 728-3296


Pharmacist Member

of 32



Physical Therapy

Current Term

Expires

Effective Date




12/01/2016 11/30/2021Betsy J. Becker, PT, DPT,

CLT-LANA


Omaha NE 68198-4420

Phone #: (402) 559-5053

Fax #:


Vice-Chair

Physical Therapist Member

09/19/2017 11/30/2020Kirk M. Peck, PT, PhD, CSCS,

CCRT, CERP

Creighton University, Boyne Bldg.,

Office 160


Omaha NE 68178

Phone #: (402) 280-5633

Fax #:



12/01/2009 11/30/2019Rachel Kaye Reiman, PT, MSHCA

4101 Woodcrest Circle

Blair NE 68008

Phone #: (402) 941-7344

Fax #: (402) 727-3333


Chairperson


06/17/2013 11/30/2019Thomas C. Victor

8609 F Street

Omaha NE 68127

Phone #: (402) 339-1056

Fax #: (402) 339-1061


Secretary

Public Member

of 32



Physician Assistant Committee

Current Term

Expires

Effective Date




04/17/2009 11/30/2019Tom E. Bassett

2104 Heritage Pines

Lincoln NE 68506

Phone #: (402) 484-8143

Fax #: (402) 484-8143


Secretary

Public Member

12/01/2011 11/30/2021Michael J. Bittles, MD

430 N. Monitor Street

West Point NE 68788-1595

Phone #: (402) 372-2404

Fax #: (402) 372-2360


Medical Board Member

12/01/2014 11/30/2019Tamara A. Dolphens, PA-C

1450 Hardwood Drive

Papillion NE 68046

Phone #: (402) 955-4350

Fax #: (402) 955-4356


Chairperson


04/17/2009 11/30/2019David J. Hoelting, MD

100 Valley View Drive

Pender NE 68047

Phone #: (402) 385-3033

Fax #: (402) 385-3092


Vice-Chair

Supervising Physician

Member

06/19/2017 11/30/2021Kathleen M. Tonkin, PA-C

7447 Whitestone Drive

Lincoln NE 68506

Phone #: (402) 420-7000

Fax #: (402) 420-6969

Email:

[email protected]


of 32



Podiatry

Current Term

Expires

Effective Date




01/28/2008 11/30/2021Scott C. Nelson, DPM, FACFAS

16909 Lakeside Hills Court, Suite

208

Omaha NE 68130

Phone #: (402) 717-0820

Fax #: (402) 717-0830


Chairperson

Podiatrist Member

01/24/2005 11/30/2019Richard J. Raska, DPM

815 South Maple


Phone #: (308) 532-3600

Fax #: (308) 532-6288


Secretary

Podiatrist Member

12/01/2010 11/30/2020Torrey B. Rassfeld, DPM, C.Ped,

FACFAOM

Capital Foot Center, P.C.

1150 North 83rd Street

Lincoln NE 68505

Phone #: (402) 483-4485

Fax #: (402) 483-5372

Email:

Vice-Chair

Podiatrist Member

12/01/2015 11/30/2019R. McLaran Sawyer, PhD



Phone #:

Fax #:

Email:

Public Member

of 32



Psychology

Current Term

Expires

Effective Date




11/16/2015 11/30/2019Karen A. Billingsley

20764 Sequoia Street

Elkhorn NE NE 68022-5158

Phone #: (402) 651-9485

Fax #:


Public Member

12/01/2015 11/30/2020Stephanie L. Bruhn, PhD

LRC - Whitehall Program

5845 Huntington Avenue

Lincoln NE 68507

Phone #: (402) 471-6937

Fax #: (402) 471-6978


Chairperson

Psychologist Member

01/26/2016 11/30/2019Jennifer L. Dreibelbis

1030 South 32nd Street

Omaha NE 68105

Phone #: (402) 595-2124

Fax #: (402) 595-2334


Public Member

11/16/2015 11/30/2019Mary Fran Flood, PhD

Psychological Consultation Center

University of Nebraska-Lincoln - 325

Burnett


Phone #: (402) 472-2351

Fax #: (402) 472-6184


Secretary

Psychologist Member

12/01/2017 11/30/2022Mark E. Lukin, PhD

LCC - Mental Health

PO Box 22800

Lincoln NE 68542

Phone #: (402) 479-6202

Fax #: (402) 479-6221


Psychologist Member

11/17/2008 11/30/2018Jerry A. Van Winkle, PsyD, LLC

KYRTC - Administration/Dodge - 1st

Floor

2802 30th Avenue

Kearney NE 68845

Phone #: (308) 865-5313, ext. 264

Fax #:


Psychologist Member

12/01/2016 11/30/2021Stacy A. Waldron, PhD

Bryan Medical Center Counseling

Center


Lincoln NE 68502

Phone #: (402) 481-4143

Fax #: (402) 481-4801


Vice-Chair

Psychologist Member

of 32



Registered Environmental Health Specialists

Current Term

Expires

Effective Date




11/16/2015 11/30/2018Melva R. Ball, REHS

Nebraska Department of Agriculture

P.O. Box 94757


Phone #: (402) 471-6814

Fax #: (402) 471-2759


Registered Environmental

Health Specialist Member

03/23/2015 11/30/2019Jeremy M. Collinson, REHS

1137 S. Locust Street


Phone #: (308) 385-5175

Fax #: (308) 385-5181


Secretary



06/19/2017 11/30/2019Larry L. Hardesty, PhD

7240 West 37th Street

Kearney NE 68845

Phone #:

Fax #:

Email:

Public Member

11/20/2006 11/30/2018Scott E. Holmes, REHS, MS

Lincoln / Lancaster County Health

Dept.

3140 N Street


Phone #: (402) 441-8019

Fax #: (402) 441-3890


Chairperson



11/14/2016 11/30/2018Sarah F. Pistillo, REHS

Douglas County Health Dept.

1111 South 41st Street

Omaha NE 68105

Phone #: (402) 444-7231

Fax #: (402) 444-1712

Email:

[email protected]



09/19/2017 11/30/2019Michael L. Wentink, REHS

DHHS, Division of Drinking Water

200 South Silber Avenue, 1st Floor


Phone #: (308) 535-8135

Fax #: (308) 535-8366




of 32



Respiratory Care Practice

Current Term

Expires

Effective Date




09/19/2017 11/30/2021Adam J. Case, PhD

University of Nebraska Medical

Center


Omaha NE 68198-5850

Phone #: (402) 559-3078

Fax #: (402) 559-4438


Public Member

12/01/2009 11/30/2019William (Bill) M. Johnson, MD

1500 S 48th St, Suite 800

Lincoln NE 68506

Phone #: (402) 483-8600

Fax #: (402) 483-8689


Secretary

Physician Member

12/01/2016 11/30/2021Joseph E. Rush, BS, RRT,

RRT-NPS

5401 South Street

Lincoln NE 68506

Phone #: (402) 413-3275

Fax #: (402) 413-3178


Vice-Chair

Respiratory Care Practitioner

Member

12/01/2015 11/30/2020Jill H. Sand, M.Ed., RRT

5637 Dogwood Drive

Lincoln NE 68516

Phone #: (402) 437-2781

Fax #: (402) 437-2592


Chairperson

Respiratory Care Practitioner

Member

of 32



Veterinary Medicine and Surgery

Current Term

Expires

Effective Date




12/30/2017 11/30/2021Elizabeth L. Farrington, DVM

Nebraska Humane Society

8929 Fort Street

Omaha NE 68134

Phone #: (402) 444-7800, ext. 2265

Fax #: (402) 546-1476

Email:

[email protected]

Veterinarian Member

12/01/2014 11/30/2019Linda J. Heiden

PO Box 37

Bertrand NE 68927-0037

Phone #: (308) 472-3210

Fax #: (308) 472-5313


Secretary

Public Member

12/01/2010 11/30/2020Micah R. Kohles, DVM, MPA

PO Box 775

Louisville NE 68037-0775

Phone #: (402) 867-2400

Fax #: (402) 867-3222

Email:

[email protected]

Vice-Chair

Veterinarian Member

12/01/2016 11/30/2021Joshua M. Schlote, LVT

801 East Benjamin Avenue

Norfolk NE 68701

Phone #: (402) 844-7694

Fax #: (402) 844-7390


Veterinary Technician

Member

12/01/2009 11/30/2019James F. Unwin, DVM

315 North Fried

Oakland NE 68045

Phone #: (402) 685-5202

Fax #: (402) 685-6424


Chairperson

Veterinarian Member

of 32

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