board member list -- publicdhhs.ne.gov/publichealth/documents/brdmbr.pdfboard member list -- public...
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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
Email: [email protected]
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
Email: [email protected]
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:
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:
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 #:
Email: [email protected]
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:
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:
Certified Nurse Midwife
Member
Page 1 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Alcohol and Drug Counseling
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
Alcohol and Drug Counselor
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
Email: [email protected]
Vice-Chair
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
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:
Chairperson
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
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:
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
only
12/01/2014 11/30/2019Tomeka C. Johnson
PO Box 641594
Omaha NE 68164
Phone #: (402) 885-7672
Fax #: (402) 991-1748
Email:
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 #:
Email: [email protected]
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
Email: [email protected]
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 #:
Email: [email protected]
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
only
Page 2 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Athletic Training
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Athletic Trainer Member
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
Email: [email protected]
Athletic Trainer Member
Page 3 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Audiology and Speech-Language Pathology
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
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
Email: [email protected]
Vice-Chair
Audiologist Member
12/01/2009 11/30/2019Craig A. Foss, AuD
2421 W. Faidley
Grand Island NE 68803
Phone #: (308) 384-2101
Fax #: (308) 381-4787
Email: [email protected]
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
Email: [email protected]
Secretary
Speech-Language
Pathologist Member
12/01/2014 11/30/2019David C. Vann, JD, MS
260 South 27th Street
Lincoln NE 68510
Phone #: (402) 471-7569
Fax #:
Email: [email protected]
Public Member
Page 4 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Chiropractic
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
12/01/2014 11/30/2019Maryann Gamble
3739 Pinehill Road
Bellevue NE 68123
Phone #: (402) 397-9866
Fax #: (402) 397-1404
Email:
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
Email: [email protected]
Chiropractor Member
12/01/2014 11/30/2019Jeremiah J. Rethwisch, DC
18010 R Plaza, Suite 104
Omaha NE 68135
Phone #: (402) 408-6561
Fax #:
Email: [email protected]
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
Email: [email protected]
Chairperson
Chiropractor Member
Page 5 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Cosmetology, Electrology, Esthetics, Nail Technology, and Body Art
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
11/30/2017POSITION VACANT -
As of 11/02/2015
Phone #:
Fax #:
Email:
Public Member
11/30/2019POSITION VACANT -
As of 12/01/2014
Phone #:
Fax #:
Email:
Tanning Salon Owner
11/19/2012 11/30/2020Bridget S. Anderson
PO Box 83966
Lincoln NE 68501-3966
Phone #: (402) 476-1021
Fax #: (402) 476-8033
Email: [email protected]
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 #:
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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 #:
Email: [email protected]
Cosmetology Instructor
Member
12/01/2017 11/30/2022Marie F. Nordboe
239 W 6th Street
Fremont NE 68025
Phone #: (402) 721-1328
Fax #:
Email: [email protected]
Cosmetologist Member
Page 6 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
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 #:
Email: [email protected]
Nail Technology Instructor or
Esthetics Instructor Member
Page 7 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Dentistry
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
01/24/2017 11/30/2020Yoshiharu Ameku, DDS
UNMC College of Dentistry
4000 East Campus Loop South
Lincoln NE 68583-0740
Phone #: (402) 472-9846
Fax #: (402) 472-5290
Email: [email protected]
Dental School Faculty
Member
12/01/2011 11/30/2021Dennis M. Anderson, DDS, MS
3635 North 129th Street
Omaha NE 68164
Phone #: (402) 493-9429
Fax #: (402) 493-4746
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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 #:
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Dentist Member
Page 8 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Emergency Medical Services
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
10/23/2008 03/16/2015POSITION VACANT -
As of 03/16/2015
Phone #:
Fax #:
Email:
Public Member
12/01/2017POSITION VACANT -
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
Email: [email protected]
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
1600 South 48th Street
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 #:
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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:
Emergency Medical
Technician Member
Out of Hospital; Training
Agencies
Page 9 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
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
Email: [email protected]
Registered Nurse Member
Out of Hospital;
Protocol/NARSIS & Scope of
Practice
12/02/2013 12/01/2018Charles A. LaFollette
6116 South 94th Street
Lincoln NE 68526
Phone #: (402) 509-8003
Fax #: (888) 326-8101
Email: [email protected]
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
Email: [email protected]
Member at Large
01/31/2012 12/01/2016Carl L. Rennerfeldt
601 North 24th Street
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
Email: [email protected]
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 #:
Email: [email protected]
Secretary
Paramedic Member
Chairman Service Programs;
Training Agencies;
Complaint Screening
Page 10 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Funeral Directing and Embalming
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
09/19/2017 11/30/2020Lawrence J. Battaglia, LLB
3409 South 79th Street
Omaha NE 68124-3345
Phone #:
Fax #:
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Funeral Director and
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
Email: [email protected]
Secretary
Funeral Director and
Embalmer Member
Page 11 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Hearing Instrument Specialists
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
09/16/2013 11/30/2018Marc A. Brennan, PhD
Boys Town National Research
Hospital
555 North 30th Street
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
Email: [email protected]
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 #:
Email: [email protected]
Vice-Chair
Hearing Instrument Specialist
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
Email: [email protected]
Secretary
Hearing Instrument Specialist
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 #:
Email: [email protected]
Otolaryngologist Member
Page 12 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Massage Therapy
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
12/01/2008 11/30/2018Kimberly Adams Johnson, LMT
770 North Cotner, Suite 408
Lincoln NE 68505
Phone #: (402) 310-0604
Fax #:
Email: [email protected]
Chairperson
Massage Therapist Member
09/16/2013 11/30/2018Brian T. Allison, FACHE
8200 Dodge Street
Omaha NE 68114
Phone #: (402) 955-4111
Fax #:
Email: [email protected]
Vice-Chair
Public Member
12/01/2016 11/30/2021Steven E. Carper, MBA, BS, LMT
Omaha School of Massage Therapy
5406 South 99th Street
Omaha NE 68127
Phone #: (402) 331-3694
Fax #:
Email: [email protected]
Secretary
Massage Therapist Member
12/01/2015 11/30/2020Michele R. Helaney, BS, LMT,
BCTMB, CPT. WLS
13803 Industrial Road
Omaha NE 68137
Phone #: (402) 215-6017
Fax #:
Email: [email protected]
Massage Therapist Member
Page 13 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Medical Nutrition Therapy
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
11/30/2015POSITION VACANT -
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
Email: [email protected]
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
Email: [email protected]
Physician Member
03/20/2018 11/30/2020Elizabeth A. Kenyon, RDN, LMNT
140720 Experiment Farm Road
Mitchell NE 69357
Phone #:
Fax #:
Email:
Medical Nutrition Therapist
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:
Chairperson
Medical Nutrition Therapist
Member
Page 14 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Medical Radiography
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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 #:
Email: [email protected]
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
Email: [email protected]
Vice-Chair
Medical Radiographer
Member
12/01/2008 11/30/2018Francine M. Oran
8800 O Street
Lincoln NE 68520
Phone #: (402) 437-2764
Fax #: (402) 437-2404
Email: [email protected]
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
Email: [email protected]
Medical Radiographer
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
Email: [email protected]
Medical Radiographer
Member
Page 15 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Medicine and Surgery
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Medical School Faculty
Member
11/19/2007 11/30/2019Merle J. Henkenius
2611 N. 75th Street
Lincoln NE 68507-2993
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 #:
Email: [email protected]
Secretary
Physician Member
12/01/2008 11/30/2018Judith A. Scott, DO
717 North 192nd Plaza
Omaha NE 68022
Phone #: (402) 815-1994
Fax #:
Email: [email protected]
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
Email: [email protected]
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
Lincoln NE 68509-5026
Phone #: (402) 471-7795
Fax #: (402) 471-7859
Email: [email protected]
Vice-Chair
Physician Member
Page 16 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Mental Health Practice
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
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 #:
Email: [email protected]
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
Email: [email protected]
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:
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
Email: [email protected]
Licensed Mental Health
Practitioner Member
03/20/2017 11/30/2018Tamara L. Kenning, LIMHP, LPC,
CPC, LADC
122 South 4th Street
P.O. Box 303
Seward NE 68434
Phone #: (402) 643-4954
Fax #: (531) 727-2073
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Secretary
Certified Professional
Counselor Member
Page 17 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Nebraska Center for Nursing Board
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
06/21/2015POSITION VACANT -
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
Grand Island NE 68803
Phone #: (308) 675-3211
Fax #: (308) 675-3216
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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:
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
Email: [email protected]
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
Email: [email protected]
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
2500 California Plaza
Omaha NE 68178
Phone #: (402) 280-2003
Fax #: (402) 280-2045
Email: [email protected]
Member Recommended by
State Board of Health
Page 18 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
04/14/2015 06/21/2020Kathy A. Harrison, MSN, RN
Mid-Plains Comm. College, Health
and Science Center
601 West State Farm Road
North Platte NE 69101
Phone #: (308) 221-6408
Fax #: (308) 221-6796
Email: [email protected]
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 #:
Email: [email protected]
Registered Nurse Selected
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
Email: [email protected]
Member Recommended by
State Board of Health
06/22/2013 06/21/2019Pamela J. Uhlir, RN, MSN
53 Summerhaven Lake
Kearney NE 68847-9422
Phone #:
Fax #:
Email: [email protected]
Registered Nurse Selected
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
Page 19 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Nursing
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
11/16/2009 11/30/2020Janet L. Andrew, LPN-C
1516 L Street
Auburn NE 68305
Phone #: (402) 274-6123
Fax #: (402) 274-6134
Email: [email protected]
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 #:
Email: [email protected]
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
Email: [email protected]
Practical Nurse Member
11/16/2015 11/30/2020Louise M. LaFramboise, PhD, RN,
CNE
University of Nebraska Medical
Center, College of Nursing
985330 Nebraska Medical Center
Omaha NE 68198-5330
Phone #: (402) 559-6535
Fax #: (402) 559-9666
Email: [email protected]
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
Email: [email protected]
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.)
Email: [email protected]
Practical Nurse Educator
Member
03/24/2014 11/30/2018Dawn A. Straub, MSN, RN, NEA-BC
The Nebraska Medical Center
987447 Nebraska Medical Center
Omaha NE 68198-7447
Phone #: (402) 559-7579
Fax #: (402) 559-9676
Email: [email protected]
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:
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
Email: [email protected]
Secretary
Associate Degree or Diploma
Nurse Educator Member
Page 20 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
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 #:
Email: [email protected]
Advanced Practice
Registered Nurse Member
Page 21 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Nursing Home Administration
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
12/01/2009 11/30/2019Scott A. Bahe, NHA
PO Box 429
Gothenburg NE 69138
Phone #: (308) 537-7138
Fax #: (308) 537-7130
Email: [email protected]
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
Email: [email protected]
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 #:
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Registered Nurse Member
11/19/2012 11/30/2020Alexander G. Willford, NHA
Grand Island Veterans Home: Attn
Alex Willford, Administrator
2300 West Capital
Grand Island NE 68803
Phone #: (308) 385-6252, ext. 231
Fax #: (308) 385-6009
Email: [email protected]
Vice-Chair
Nonprofit Home Member
Page 22 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Occupational Therapy Practice
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
Vice-Chair
Occupational Therapist or
Occupational Therapy
Assistant Member
12/01/2016 11/30/2021Marcus A. Doughty, OTD, OTR/L,
CHT
2302 Birchwood Rd
North Platte NE 69101
Phone #: (308) 530-5496
Fax #: (308) 696-8637
Email: [email protected]
Chairperson
Occupational Therapist
Member
12/14/2015 11/30/2020Nancy M. Peetz
7881 North Hwy 83
North Platte NE 69101
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
Email: [email protected]
Secretary
Occupational Therapist
Member
Page 23 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Optometry
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Optometrist Member
Page 24 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Pharmacy
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
09/19/2016 11/30/2018Sabrina L. Beck, PharmD, RP
7500 Mercy Road
Omaha NE 68124
Phone #: (402) 398-6181
Fax #: (402) 398-6096
Email: [email protected]
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
Email: [email protected]
Pharmacist Member
12/01/2010 11/30/2020Kenneth "Ken" L. Saunders, RP,
PharmD, TTS
2631 North 157th Street
Omaha NE 68116
Phone #: (402) 717-8270
Fax #: (402) 717-8271
Email: [email protected]
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
Email: [email protected]
Pharmacist Member
Page 25 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Physical Therapy
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
12/01/2016 11/30/2021Betsy J. Becker, PT, DPT,
CLT-LANA
984420 Nebraska Medical Center
Omaha NE 68198-4420
Phone #: (402) 559-5053
Fax #:
Email: [email protected]
Vice-Chair
Physical Therapist Member
09/19/2017 11/30/2020Kirk M. Peck, PT, PhD, CSCS,
CCRT, CERP
Creighton University, Boyne Bldg.,
Office 160
2500 California Plaza
Omaha NE 68178
Phone #: (402) 280-5633
Fax #:
Email: [email protected]
Physical Therapist Member
12/01/2009 11/30/2019Rachel Kaye Reiman, PT, MSHCA
4101 Woodcrest Circle
Blair NE 68008
Phone #: (402) 941-7344
Fax #: (402) 727-3333
Email: [email protected]
Chairperson
Physical Therapist Member
06/17/2013 11/30/2019Thomas C. Victor
8609 F Street
Omaha NE 68127
Phone #: (402) 339-1056
Fax #: (402) 339-1061
Email: [email protected]
Secretary
Public Member
Page 26 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Physician Assistant Committee
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
04/17/2009 11/30/2019Tom E. Bassett
2104 Heritage Pines
Lincoln NE 68506
Phone #: (402) 484-8143
Fax #: (402) 484-8143
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Physician Assistant Member
04/17/2009 11/30/2019David J. Hoelting, MD
100 Valley View Drive
Pender NE 68047
Phone #: (402) 385-3033
Fax #: (402) 385-3092
Email: [email protected]
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:
Physician Assistant Member
Page 27 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Podiatry
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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
Email: [email protected]
Chairperson
Podiatrist Member
01/24/2005 11/30/2019Richard J. Raska, DPM
815 South Maple
North Platte NE 69101
Phone #: (308) 532-3600
Fax #: (308) 532-6288
Email: [email protected]
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
2640 South 35th Street
Lincoln NE 68506-6623
Phone #:
Fax #:
Email:
Public Member
Page 28 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Psychology
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
11/16/2015 11/30/2019Karen A. Billingsley
20764 Sequoia Street
Elkhorn NE NE 68022-5158
Phone #: (402) 651-9485
Fax #:
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Public Member
11/16/2015 11/30/2019Mary Fran Flood, PhD
Psychological Consultation Center
University of Nebraska-Lincoln - 325
Burnett
Lincoln NE 68588-0311
Phone #: (402) 472-2351
Fax #: (402) 472-6184
Email: [email protected]
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
Email: [email protected]
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 #:
Email: [email protected]
Psychologist Member
12/01/2016 11/30/2021Stacy A. Waldron, PhD
Bryan Medical Center Counseling
Center
2300 South 16th Street
Lincoln NE 68502
Phone #: (402) 481-4143
Fax #: (402) 481-4801
Email: [email protected]
Vice-Chair
Psychologist Member
Page 29 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Registered Environmental Health Specialists
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
11/16/2015 11/30/2018Melva R. Ball, REHS
Nebraska Department of Agriculture
P.O. Box 94757
Lincoln NE 68509-4757
Phone #: (402) 471-6814
Fax #: (402) 471-2759
Email: [email protected]
Registered Environmental
Health Specialist Member
03/23/2015 11/30/2019Jeremy M. Collinson, REHS
1137 S. Locust Street
Grand Island NE 68801
Phone #: (308) 385-5175
Fax #: (308) 385-5181
Email: [email protected]
Secretary
Registered Environmental
Health Specialist Member
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
Lincoln NE 68510-1523
Phone #: (402) 441-8019
Fax #: (402) 441-3890
Email: [email protected]
Chairperson
Registered Environmental
Health Specialist Member
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:
Registered Environmental
Health Specialist Member
09/19/2017 11/30/2019Michael L. Wentink, REHS
DHHS, Division of Drinking Water
200 South Silber Avenue, 1st Floor
North Platte NE 69101
Phone #: (308) 535-8135
Fax #: (308) 535-8366
Email: [email protected]
Registered Environmental
Health Specialist Member
Page 30 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Respiratory Care Practice
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
09/19/2017 11/30/2021Adam J. Case, PhD
University of Nebraska Medical
Center
985850 Nebraska Medical Center
Omaha NE 68198-5850
Phone #: (402) 559-3078
Fax #: (402) 559-4438
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Respiratory Care Practitioner
Member
Page 31 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
5/1/2018 Department of Health and Human Services Division of Public Health Licensure Unit
Veterinary Medicine and Surgery
Current Term
Expires
Effective Date
of First TermBoard Office
Telephone, Fax Number
& Email AddressName and Address
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:
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
Email: [email protected]
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:
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
Email: [email protected]
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
Email: [email protected]
Chairperson
Veterinarian Member
Page 32 of 32