BOARD MEMBER LIST -- PUBLICKathryn "Anne" Anderson, MA, 12/01/201911/30/2024 CCC-SLP 3814 North 161...
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Division of Public Health BOARD MEMBER LIST -- PUBLIC Current as of 9/1/2021 Department of Health and Human Services Division of Public Health Licensure Unit Advanced Practice Registered Nurses Current Term Expires Effective Date of First Term Board Office Telephone, Fax Number & Email Address Name and Address 11/30/2021 POSITION VACANT - As of 08/04/2021 (Skoch) Phone #: Fax #: Email: Physician Member 11/16/2015 11/30/2022 Sheila J. Ellis, MD 9980 South 162nd Street Omaha NE 68136 Phone #: (402) 559-4081 Fax #: (402) 559-7372 Email: [email protected] Secretary Physician Member 12/01/2015 11/30/2020 Jenna E. Fiala, MD 7311 South 96th Ct Lincoln NE 68526 Phone #: Fax #: Email: Physician Member 12/01/2014 11/30/2024 Barbara J. Foss, APRN 808 Oxford Avenue Elwood NE 68937 Phone #: (308) 324-1656 Fax #: (308) 324-1658 Email: [email protected] Nurse Practitioner Member 11/16/2015 11/30/2021 Timothy P. Glidden, CRNA, MS 16132 Lafayette Avenue Omaha NE 68118-2460 Phone #: (402) 559-4175 Fax #: (402) 559-7372 Email: [email protected] President Certified Registered Nurse Anesthetist Member 01/25/2016 11/30/2025 Alice 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 11/30/2021 Michael A. Losee, MA 7411 South 18th Street Lincoln NE 68512 Phone #: (402) 818-1123 Fax #: Email: [email protected] Public Member 12/01/2020 11/30/2025 Jackie L. Sandersfeld 13421 Rd 117 Alliance NE 69301 Phone #: (308) 762-5612 Fax #: Email: [email protected] Public Member 12/01/2017 11/30/2022 Jenda 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 Page 1 of 32
Transcript of BOARD MEMBER LIST -- PUBLICKathryn "Anne" Anderson, MA, 12/01/201911/30/2024 CCC-SLP 3814 North 161...
Division of Public Health
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
11/30/2021POSITION VACANT -
As of 08/04/2021 (Skoch)
Phone #:
Fax #:
Email:
Physician Member
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]
Secretary
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 11/30/2024Barbara J. Foss, APRN
808 Oxford Avenue
Elwood NE 68937
Phone #: (308) 324-1656
Fax #: (308) 324-1658
Email: [email protected]
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]
President
Certified Registered Nurse
Anesthetist Member
01/25/2016 11/30/2025Alice 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]
Public Member
12/01/2020 11/30/2025Jackie L. Sandersfeld
13421 Rd 117
Alliance NE 69301
Phone #: (308) 762-5612
Fax #:
Email: [email protected]
Public 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
9/1/2021 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
12/01/2019 11/30/2024POSITION VACANT -
As of 12/01/2019 (Gilfillan)
Phone #:
Fax #:
Email:
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
only
12/01/2020 11/30/2025Brian D. Bierschenk
724 South 18th Street, Apt. 313
Norfolk NE 68701
Phone #: (402) 649-8294
Fax #:
Email: [email protected]
Public Member
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
Alcohol & Drug Counselor
and Mental Health
Practitioner
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]
Chairperson
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: [email protected]
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
and Mental Health
Practitioner
04/29/2019 11/30/2023Amy R. Eigenberg, LIMHP, LADC,
MAC, SAP
Insight Counseling & Recovery, LLC
2908 W. 39th St, Suite B
Kearney NE 68845
Phone #: (308) 237-0391
Fax #: (308) 708-7452
Email:
m
Vice-Chair
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
and Mental Health
Practitioner
09/17/2018 11/30/2025Victor L. Gehrig, LADC
305 Foch Street
PO Box 428
Gordon NE 69343
Phone #: (308) 282-1101
Fax #: (308) 282-1372
Email: [email protected]
Alcohol and Drug Counselor
Member
Alcohol & Drug Counselor
only
11/15/2010 11/30/2023Natasha 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
12/01/2019 11/30/2024Mary C. Sneckenberg
5739 NW 14th Street
Lincoln NE 68521
Phone #:
Fax #:
Email:
Public Member
Page 2 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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 11/30/2025Rebecca L. Docter, MA, ATC, LAT
10860 Martin Avenue
Omaha NE 68164-1266
Phone #: (402) 955-6534
Fax #: (402) 955-6529
Email: [email protected]
Vice-Chair
Athletic Trainer Member
12/01/2019 11/30/2024Michael E. Nicola, MS, ATC, CSCS
13605 South 40th Circle
Bellevue NE 68123
Phone #:
Fax #:
Email: [email protected]
Secretary
Athletic Trainer Member
12/01/2016 11/30/2021Jessica R. Roberts, MS Ed, ATC
7325 N 106 Avenue
Omaha NE 68122
Phone #: (402) 499-8653
Fax #:
Email: [email protected]
Chairperson
Athletic Trainer Member
Page 3 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2019 11/30/2024Kathryn "Anne" Anderson, MA,
CCC-SLP
13143 Superior Drive, # 103
Omaha NE 68138-4434
Phone #:
Fax #:
Email:
Secretary
Speech-Language
Pathologist Member
12/01/2015 11/30/2025Katie 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 11/30/2025Rhonda R. Dick, AuD, CCC-A
555 North 30th Street
Omaha NE 68131
Phone #: (402) 498-6650
Fax #: (402) 452-5015
Email: [email protected]
Chairperson
Audiologist Member
12/01/2019 11/30/2024Michelle M. Leenerts, AuD
555 North 30th Street
Omaha NE 68131
Phone #: (531) 355-6417
Fax #: (531) 355-5015
Email: [email protected]
Vice-Chair
Audiologist Member
11/17/2020 11/30/2024Robert F. Thornhill
1900 Barrington Pkwy
Papillion NE 68046
Phone #:
Fax #:
Email: [email protected]
Public Member
Page 4 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2020 11/30/2025Heather D. Henrichs, DC
19511 Watersedge Circle
Plattsmouth NE 68048
Phone #: (420) 354-7166
Fax #:
Email: [email protected]
Secretary
Chiropractor Member
12/01/2019 11/30/2024David D. Henske
63 Trenridge Road
Lincoln NE 68505
Phone #: (402) 420-2244
Fax #: (402) 420-2290
Email: [email protected]
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]
Chairperson
Chiropractor Member
04/15/2020 11/30/2024Scott D. Misek, DC
4852 South 133rd Street, Suite 103
Omaha NE 68137
Phone #: (402) 630-2670
Fax #:
Email: [email protected]
Vice-Chair
Chiropractor Member
Page 5 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
11/30/2024POSITION VACANT -
As of 05/29/2018 (Harper)
Phone #:
Fax #:
Email:
Electrologist Member
11/19/2012 11/30/2025Bridget S. Anderson
PO Box 83966
Lincoln NE 68501-3966
Phone #:
Fax #:
Email: [email protected]
Vice-Chair
Public Member
12/01/2020 11/30/2025Matt K. Bavougian
1640 O Street, Suite 1
Lincoln NE 68506
Phone #: (402) 438-8353
Fax #:
Email: www.onyxpiercing.com
Body Art Practitioner Member
04/29/2019 11/30/2025Shannon M. Bingham
3117 N 120th Street
Omaha NE 68164
Phone #: (402) 934-2177
Fax #: (402) 934-1492
Email: [email protected]
Salon Owner Member
12/01/2012 11/30/2022Vicki R. Criswell
PO Box 53
Plattsmouth NE 68048-0053
Phone #: (402) 613-4144
Fax #:
Email:
Chairperson
Esthetician 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
03/20/2018 11/30/2025Ruth 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
12/01/2019 11/30/2024Becky J. Pettigrew
525 N Main Street
Valentine NE 69201
Phone #: (402) 376-3339
Fax #:
Email:
Tanning Salon Owner
12/01/2018 11/30/2023Brandy D. Phillips
820 12th Avenue
Kearney NE 68845
Phone #: (308) 224-9714
Fax #:
Email: [email protected]
Cosmetologist Member
06/14/2021 11/30/2022Leslie B. Reed
c/o DHHS Licensure Unit,
Behavioral Health and Consumer
Services Section
PO Box 94986
Lincoln NE 68509-4986
Phone #:
Fax #:
Email: [email protected]
Public Member
Page 6 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 Department of Health and Human Services Division of Public Health Licensure Unit
12/01/2014 11/30/2024Pamela A. Rowland
11013 Oak Street
Omaha NE 68144
Phone #:
Fax #:
Email: [email protected]
Secretary
Nail Technology Instructor or
Esthetics Instructor Member
04/15/2020 11/30/2024Harold F. Sims
319 N 114th Street
Omaha NE 68154
Phone #: (402) 505-4480
Fax #:
Email: [email protected]
Nail Technician Member
Page 7 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
11/30/2024POSITION VACANT -
As of 07/16/2020 (McManus)
Phone #:
Fax #:
Email:
Public Member
01/24/2017 11/30/2025Yoshiharu 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
12/01/2015 11/30/2025Dean D. Cope, DDS
P.O. Box 57
Cambridge NE 69022
Phone #: (308) 697-3736
Fax #: (308) 697-3705
Email: [email protected]
Dentist Member
12/01/2014 11/30/2024Lisa M. Kucera, RDH, BGS
16402 Crestfield Drive
Omaha NE 68136
Phone #: (712) 388-6807
Fax #:
Email: [email protected]
Vice-Chair
Dental Hygienist Member
06/14/2021 11/30/2026Terrence F. Lanphier, DDS, MBA,
MAGD
2109 Cuming Street
Omaha NE 68012
Phone #: (402) 280-5614
Fax #:
Email: [email protected]
Dental School Faculty
Member
12/01/2019 11/30/2024Prof. Michael J. O'Hara, JD, PhD
1518 South 198 Avenue
Omaha NE 68130
Phone #: (402) 341-2020
Fax #:
Email: [email protected]
Secretary
Public Member
12/01/2019 11/30/2024Hannah E. Randell, RDH, PHRDH
215 Donegal Road
Aurora NE 68818
Phone #: (402) 461-2471
Fax #:
Email: [email protected]
Dental Hygienist Member
12/01/2019 11/30/2024Melanie A. Steckelberg, DDS
3201 South 33rd Street, Suite A
Lincoln NE 68506
Phone #: (402) 489-7800
Fax #: N/A
Email: [email protected]
Dentist Member
12/01/2014 11/30/2024John 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
9/1/2021 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
10/23/2008POSITION VACANT -
Phone #:
Fax #:
Email:
Physician Assistant Member
Service Program; Training
Agencies
04/28/2015 12/01/2018Michael D. Bailey
4716 29th Ave.
Kearney NE 68845
Phone #: (308) 935-1783
Fax #: (308) 935-1106
Email: [email protected]
Paramedic Member
04/26/2012 12/01/2022Gary (Randy) Boldt
1804 South 190th Plaza
Omaha NE 68130
Phone #:
Fax #:
Email:
First Responder or
Emergency Medical
Responder Member
12/12/2012 12/01/2022John 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 12/01/2022Karen Kae Bowlin, NREMT
400 Road West 30
Ogallala NE 69153
Phone #: (308) 289-2745
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 12/01/2022Ann F. Fiala
132 N Walnut St.
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
03/18/2020 03/18/2020Todd Hovey, RN, NREMT, EMS-I
As of 12/07/2018 (Hiemer)
1301 East H St.
McCook NE 69001
Phone #:
Fax #:
Email:
Emergency Medical
Technician Member
HIEMER: Out of Hospital;
Training Agencies
12/11/2006 12/01/2021Linda Lee Jensen
Immanuel Emergency
6901 N 72 Street
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
12/12/2012 12/01/2022Michael G. Miller, EdD, MS, RN,
NRP
Creighton University - Vinardi
Center (Old Gym), Room 175
2500 California Plaza
Omaha NE 68178
Phone #: (402) 280-1280
Fax #: (402) 280-1288
Email: [email protected]
Secretary
Member at Large
Page 9 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 Department of Health and Human Services Division of Public Health Licensure Unit
03/18/2020 03/18/2020Dion Neumiller
As of 10/13/2015
200 W South River Road
North Platte NE 69101
Phone #: (308) 535-8047
Fax #:
Email: [email protected]
Consumer Member
03/18/2020 03/18/2020Carolyn A. Petersen
As of 03/16/2015
715 E Hwy 20
Valentine NE 69201
Phone #: (402) 376-8033
Fax #:
Email: [email protected]
Consumer Member
12/02/2016 12/01/2021Carl L. Rennerfeldt
601 North 24th Street
Blair NE 68008
Phone #:
Fax #:
Email:
Member at Large
03/18/2025 03/18/2025Michael Sheridan
5119 Decatur St.
Omaha NE 68104
Phone #:
Fax #:
Email:
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]
Paramedic Member
Chairman Service Programs;
Training Agencies;
Complaint Screening
Page 10 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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 11/30/2025Lawrence J. Battaglia, LLB
3409 South 79th Street
Omaha NE 68124-3345
Phone #:
Fax #:
Email: [email protected]
Secretary
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]
Chairperson
Funeral Director and
Embalmer Member
12/01/2015 11/30/2025Leo P. Seger
P.O. Box 99
Atkinson NE 68713
Phone #: (402) 925-5420
Fax #: (402) 925-2720
Email: [email protected]
Funeral Director and
Embalmer Member
12/01/2014 11/30/2024Arvid D. Wiest
1116 N 19th Street
Beatrice NE 68310
Phone #: (402) 223-4096
Fax #: (402) 223-4097
Email: [email protected]
Vice-Chair
Funeral Director and
Embalmer Member
Page 11 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2014 11/30/2024Edward G. Granger, HIS
1405 North Cotner Boulevard
Lincoln NE 68505
Phone #: (402) 466-6402
Fax #: (402) 466-6402
Email:
Vice-Chair
Hearing Instrument Specialist
Member
06/16/2014 11/30/2023Misti 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]
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]
Chairperson
Hearing Instrument Specialist
Member
11/15/2010 11/30/2020Michael (Mick) P. Pierce
7430 Adams Street
Lincoln NE 68507
Phone #:
Fax #:
Email:
Public Member
12/01/2018 11/30/2023Kelly L. Pritchett, AuD
University of Nebraska - Lincoln
116 Barkley Memorial Center
Lincoln NE 68583-0731
Phone #: (402) 472-8824
Fax #: (402) 472-3814
Email: [email protected]
Secretary
Audiologist Member
09/19/2017 11/30/2021Aaron D. Robinson, MD
7001 A Street, Suite 210
Lincoln NE 68510
Phone #: (402) 484-5500
Fax #: (402) 484-5501
Email: [email protected]
Otolaryngologist Member
Page 12 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2016 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]
Vice-Chair
Massage Therapist Member
12/01/2018 11/30/2023Mallory R. Carstens, LMT
H Salon & Day Spa
6760 Woodland Boulevard, Suite A
Hickman NE 68372
Phone #: (402) 580-0110
Fax #:
Email: [email protected]
Massage Therapist Member
12/01/2015 11/30/2025Michele R. Helaney, BS, LMT,
BCTMB, CPT. WLS
13803 Industrial Road
Omaha NE 68137
Phone #: (402) 215-6017
Fax #:
Email: [email protected]
Secretary
Massage Therapist Member
06/14/2021 11/30/2023Kristine S. Roberts, JD
c/o DHHS Licensure Unit,
Behavioral Health and Consumer
Services Section
PO Box 94986
Lincoln NE 68509-4986
Phone #:
Fax #:
Email: [email protected]
Public Member
Page 13 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
11/30/2025POSITION VACANT -
As of 12/01/2015
Phone #:
Fax #:
Email:
Public Member
04/29/2019 11/30/2024Kristy K. Anderson, MS, RD, LMNT
Children's Hospital & Medical
Center
8200 Dodge Street
Omaha NE 68114
Phone #: (402) 955-5707
Fax #:
Email: [email protected]
Medical Nutrition Therapist
Member
12/01/2013 11/30/2023Cristina Fernandez, MD
2412 Cuming Street, Suite 103
Omaha NE 68131
Phone #: (402) 280-4580
Fax #: (402) 280-4159
Email: [email protected]
Physician Member
12/01/2020 11/30/2025Shannon M. Frink, MS, RDN, LMNT
715 North Saint Joseph Avenue
Hastings NE 68901
Phone #: (402) 460-5803
Fax #: (402) 460-5529
Email: [email protected]
Medical Nutrition Therapist
Member
12/01/2014 11/30/2024Crystal M. Zabka Belsky, MS, RD,
CSSD, LMNT
OMNI Inventive Care
5115 F Street
Omaha NE 68117
Phone #: (402) 397-9866, ext. 1032
Fax #: (402) 397-1404
Email: [email protected]
Chairperson
Medical Nutrition Therapist
Member
Page 14 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
11/30/2023POSITION VACANT -
As of 07/31/2020 (Wild)
Phone #:
Fax #:
Email:
Limited Radiographer
Member
09/17/2019 11/30/2024Megan M. Dutt, BS RT (R) (CT)
(MR)
611 2nd Street
Yutan NE 68073
Phone #: (402) 443-1424
Fax #: (402) 443-1434
Email: [email protected]
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
12/01/2020 11/30/2025Randy R. Prouty, BSRT, RT [R]
Regional West Medical Center,
Attn: Radiology
4021 Avenue B
Scottsbluff NE 69361
Phone #: (308) 630-1142
Fax #: (308) 630-2032
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]
Secretary
Medical Radiographer
Member
Page 15 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2020 11/30/2025Rachel A. Blake, MD
4130 Pioneer Woods Drive, Suite 2
Lincoln NE 68506
Phone #: (402) 483-2987
Fax #: (402) 483-2980
Email:
Physician Member
09/16/2013 11/30/2021Mark D. Goodman, MD, FAAFP
2412 Cuming Street, Suite 200
Omaha NE 68131
Phone #: (402) 717-0380
Fax #: (402) 717-6059
Email: [email protected]
Medical School Faculty
Member
12/01/2018 11/30/2023Jodanne W. Hedrick, DO
7205 West Center Rd, Suite 200
Omaha NE 68124
Phone #: (402) 397-6600
Fax #: (402) 397-8318
Email: [email protected]
Vice-Chair
Osteopathic Physician
Member
03/21/2011 11/30/2024Jeffrey L. Howorth
c/o DHHS Licensure Unit, Medical
and Specialized Health Section
PO Box 94986
Lincoln NE 68509-4986
Phone #: (402) 679-8333
Fax #:
Email:
Public Member
04/29/2019 11/30/2024Brian J. Keegan, MD, FACP
Attn: Hospital Medicine
2700 West Norfolk Avenue
Norfolk NE 68701
Phone #: (402) 844-8181
Fax #: (402) 844-8182
Email: [email protected]
Secretary
Physician Member
04/15/2020 11/30/2024Adam B. Kuenning, JD, LLM
1044 North 115th Street, Suite 500
Omaha NE 68154
Phone #: (402) 829-2900
Fax #: (402) 829-2939
Email: [email protected]
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]
Physician Member
12/01/2018 11/30/2023Maria A. Michaelis, MD, FASA
984455 Nebraska Medical Center
Dept. of Anesthesiology
Omaha NE 68198-4455
Phone #: (402) 559-4081
Fax #: (402) 559-7372
Email: [email protected]
Chairperson
Medical School Faculty
Member
Page 16 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2018 11/30/2023Laurie A. Andrews
125 Driftwood Drive
Aurora NE 68818
Phone #: (402) 694-8360
Fax #:
Email: [email protected]
Public Member
09/24/2020 11/30/2025Sara E. Batter, LICSW, LADC
9239 West Center Rd, Suite 223
Omaha NE 68124
Phone #: (402) 932-6643
Fax #: (402) 614-3414
Email: [email protected]
Certified Master Social
Worker Member
11/19/2012 11/30/2024Dale 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]
Chairperson
Certified Marriage and Family
Therapist Member
09/19/2017 11/30/2023Cassandra 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
11/14/2016 11/30/2025L. 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]
Secretary
Licensed Mental Health
Practitioner Member
12/01/2018 11/30/2023David D. Hof, EdD
University of Nebraska - Kearney
COE Building B135; 1615 W 24th
St
Kearney NE 68849
Phone #: (308) 865-8320
Fax #: (308) 865-8097
Email: [email protected]
Vice-Chair
Certified Professional
Counselor Member
04/15/2020 11/30/2024Mychelle L. Martinez
3562 South 121st Avenue
Omaha NE 68144
Phone #: (531) 222-4110
Fax #:
Email: [email protected]
Public Member
12/01/2020 11/30/2025Susan D. Meyerle, PhD, LIMHP,
CEAP, CFLE
7501 O Street, Suite 100
Lincoln NE 68510
Phone #: (402) 477-0651
Fax #: (402) 477-0332
Email: [email protected]
Licensed Mental Health
Practitioner Member
03/16/2009 11/30/2021Susan R. Reay, LICSW
UNO, Grace Abbott School of Social
Work, 205 CPACS
6001 Dodge Street
Omaha NE 68182
Phone #: (402) 616-3801
Fax #: (402) 397-1404
Email: [email protected]
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]
Certified Professional
Counselor Member
Page 17 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
06/21/2022POSITION VACANT -
As of 06/22/2019 (Faith)
Phone #:
Fax #:
Email:
Licensed Practical Nurse
Selected by Governor
06/21/2023POSITION VACANT -
As of 06/22/2020 (Dudley)
Phone #:
Fax #:
Email:
Member Selected by
Governor
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
09/21/2018 06/21/2021Sheila F. Bjerrum, RN
514 Road 24
Bradshaw NE 68319
Phone #: (402) 764-2348
Fax #: (402) 764-2349
Email:
Member Recommended by
State Board of Health
08/31/2016 06/21/2022Lina 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 #:
Fax #:
Email:
Hospital Industry
Representative Selected by
Governor
07/27/2018 06/21/2021Beth E. Burbach, PhD, BSN, RN,
CNE
Nebraska Wesleyan University
5000 Saint Paul Avenue
Lincoln NE 68504
Phone #: (402) 465-2220
Fax #:
Email: [email protected]
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
08/31/2016 06/21/2022Charity 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
01/06/2020 06/21/2022Ronda S. Ehly, MS, BSN, RN
PO Box 66
Kenesaw NE 68956
Phone #: (402) 461-5108
Fax #: (402) 461-5321
Email: [email protected]
Registered Nurse Selected
by Governor
08/31/2016 06/21/2022Christi 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
Page 18 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 Department of Health and Human Services Division of Public Health Licensure Unit
04/14/2015 06/21/2020Kathy A. Harrison, EdD, 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
04/19/2018 06/21/2021Joan E. Nelson, MS, BSN, RN
230 South 199th Street
Elkhorn NE 68022
Phone #: (402) 401-5017
Fax #: (402) 401-5005
Email: [email protected]
Member Recommended by
State Board of Health
04/10/2017 06/21/2021Dorothy 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
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
01/06/2020 06/21/2022Laura M. Weber, MSN, RN
9703 South 80th Street
Lincoln NE 68516
Phone #: (402) 489-8888, ext. 224
Fax #: (402) 421-1945
Email: [email protected]
Registered Nurse Selected
by Governor
Page 19 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2020 11/30/2025Theresa M. Delahoyde, EdD, MSN,
BSN, RN
1535 South 52nd Street
Lincoln NE 68506
Phone #: (402) 481-8843
Fax #: (402) 481-8421
Email:
Baccalaureate Nurse
Educator Member
03/15/2016 11/30/2021Anne V. Dey, DNP, RN, BC-NE
8200 Dodge Street
Omaha NE 68114
Phone #: (402) 955-4437
Fax #:
Email:
Nursing Service Administrator
Member
12/01/2018 11/30/2023Tag K. Herbek, J.D.
16883 Oakmont Drive, #18
Omaha NE 68136
Phone #: (402) 471-2171
Fax #:
Email: [email protected]
Public Member
12/01/2019 11/30/2024Tom R. Hoover, RN
311 9th Street
Fairbury NE 68352
Phone #: (402) 474-5315
Fax #:
Email: [email protected]
Associate Degree or Diploma
Nurse Educator Member
12/01/2018 11/30/2023Angela L. Kula, LPN
PO Box 234
Elkhorn NE 68022
Phone #: (402) 354-0702
Fax #: (402) 354-0711
Email: [email protected]
Practical Nurse Member
12/01/2020 11/30/2025Kandis K. Lefler, LPN
13505 West Waverly Road
Malcolm NE 68402
Phone #: (402) 560-7589
Fax #:
Email: [email protected]
Practical Nurse Member
09/19/2016 11/30/2025Patricia 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]
President
Staff Nurse Member
Community-Based
11/14/2016 11/30/2024Kristin M. Ruiz, EdD, MN, RN
c/o DHHS Licensure Unit, Nursing
Section
PO Box 94986
Lincoln NE 68509-4986
Phone #:
Fax #:
Email:
Practical Nurse Educator
Member
03/15/2021 11/30/2024Sone't S. Smutny, RN
2700 West Norfolk Avenue
Norfolk NE 68701
Phone #: (402) 371-4880
Fax #:
Email: [email protected]
Staff Nurse Member - Acute
12/01/2018 11/30/2023Linda R. Stones, RN
Bryan Medical Center
2300 South 16th Street
Lincoln NE 68502
Phone #: (402) 481-5903
Fax #: (402) 481-4342
Email: [email protected]
Nursing Service Administrator
Member
11/17/2014 11/30/2023Rita M. Thalken
1616 N 25th Street
Lincoln NE 68503
Phone #:
Fax #:
Email:
Public Member
Page 20 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
15859 Larimore Plz, Apt. 82
Omaha NE 68116-3098
Phone #: (402) 510-7576
Fax #:
Email: [email protected]
Advanced Practice
Registered Nurse Member
Page 21 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2018 11/30/2023Linda M. Bryant, MS
615 Locust Street
P.O. Box 7
Panama NE 68419
Phone #:
Fax #:
Email:
Public Member
12/01/2019 11/30/2024Shannon M. Buckminster, NHA
809 6th Corso
Nebraska City NE 68410-2946
Phone #: (402) 873-8603
Fax #: (402) 873-6621
Email:
Proprietary Home Member
06/14/2021 11/30/2024David A. Deemer, NHA
207 South Engdahl Avenue
Oakland NE 68045
Phone #: (402) 685-5683
Fax #: (402) 685-4190
Email: [email protected]
Nonprofit Home Member
06/20/2011 11/30/2025Amy M. Fish
1001 South Street
Lincoln NE 68502
Phone #: (402) 441-7101
Fax #: (402) 441-7118
Email: [email protected]
Vice-Chair
Proprietary Home Member
12/01/2018 11/30/2023Natalie A. Manley, MD, MPH
UNMC - Division of Geriatrics,
Gerontology, and Palliative Medicine
986155 Nebraska Medical Center
Omaha NE 68198
Phone #: (402) 559-9600
Fax #: (402) 559-8228
Email: [email protected]
Physician Member
12/01/2020 11/30/2025Matthew M. Matusiak, DHSc, FRIPH
(UK)
Ponca Tribe of Nebraska
5805 South 86th Circle
Omaha NE 68127
Phone #: (402) 315-2779
Fax #:
Email: [email protected]
Public Member
12/01/2019 11/30/2024Theresa L. Parker, MAM, MA, NHA,
FACHCA, CSW
8800 O Street
Lincoln NE 68520
Phone #: (402) 437-2750
Fax #:
Email: [email protected]
Secretary
College Faculty Member
12/01/2013 11/30/2023Debra L. Sutton, RN, BS, NHA
70740 573rd Avenue
Endicott NE 68350
Phone #: (402) 729-5220
Fax #: (402) 729-3391
Email: [email protected]
Registered Nurse Member
11/19/2012 11/30/2025Alexander 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]
Chairperson
Nonprofit Home Member
Page 22 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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]
Chairperson
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]
Secretary
Occupational Therapist
Member
12/14/2015 11/30/2025Nancy M. Peetz
85093 493rd Avenue
Ewing NE 68735
Phone #:
Fax #:
Email:
Public Member
12/01/2018 11/30/2023Mary M. Walsh-Sterup, OTR/L, CHT
504 Quail Circle
Hastings NE 68901
Phone #: (308) 398-5170
Fax #: (308) 398-5175
Email: [email protected]
Vice-Chair
Occupational Therapist
Member
Page 23 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2019 11/30/2024Linda J. Heiden
PO Box 37
Bertrand NE 68927-0037
Phone #: (308) 472-3210
Fax #: (402) 204-3384
Email: [email protected]
Public Member
12/01/2020 11/30/2025Creston M. Myers, OD
321 Box Butte Avenue
Alliance NE 69301
Phone #: (308) 762-4056
Fax #: (308) 762-4063
Email: [email protected]
Optometrist Member
09/16/2013 11/30/2024Robert 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]
Secretary
Optometrist Member
Page 24 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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 11/30/2023Sabrina 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
01/25/2021 11/30/2021Kevin C. Borcher, PharmD, RP
6103 South 102nd Street
Omaha NE 68127
Phone #: (402) 290-2635
Fax #:
Email: [email protected]
Pharmacist Member
09/19/2016 11/30/2021Charlene M. Dunbar
1824 Devoe Drive
Lincoln NE 68506
Phone #:
Fax #:
Email:
Public Member
12/01/2019 11/30/2024Todd M. Larimer, RP
10072 Lakeview Drive
Plattsmouth NE 68048
Phone #: (402) 874-9093
Fax #:
Email:
Chairperson
Pharmacist Member
12/01/2020 11/30/2025Charles T. Tomlinson, PharmD, RP
825 N 90th Street
Omaha NE 68144
Phone #: (402) 614-6363
Fax #:
Email: [email protected]
Secretary
Pharmacist Member
Page 25 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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, PhD,
CLT-LANA
984420 Nebraska Medical Center
Omaha NE 68198-4420
Phone #: (402) 559-5053
Fax #:
Email: [email protected]
Chairperson
Physical Therapist Member
12/01/2019 11/30/2024Kimberly M. Oliphant, PT
1022 West 81st Street
Kearney NE 68845-1452
Phone #: (308) 237-7388
Fax #: (308) 237-7394
Email:
Physical Therapist Member
09/19/2017 11/30/2025Kirk 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]
Vice-Chair
Physical Therapist Member
06/17/2013 11/30/2024Thomas C. Victor
c/o DHHS Licensure Unit,
Rehabilitation and Community
Services Section
PO Box 94986
Lincoln NE 68509-4986
Phone #:
Fax #:
Email: [email protected]
Secretary
Public Member
Page 26 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2014 11/30/2024Tamara A. Dolphens, PA-C
1450 Hardwood Drive
Papillion NE 68046
Phone #: (402) 332-9518
Fax #:
Email: [email protected]
Chairperson
Physician Assistant Member
12/01/2019 11/30/2024Merle J. Henkenius
2611 North 75th Street
Lincoln NE 68507-2993
Phone #:
Fax #:
Email:
Secretary
Public Member
04/29/2019 11/30/2021John R. Massey, MD
4130 Pioneer Woods Drive, Suite 4
Lincoln NE 68506
Phone #: (402) 858-0117
Fax #:
Email: [email protected]
Medical Board Member
12/01/2019 11/30/2024Corrigan L. McBride, MD
983280 Nebraska Medical Center
Omaha NE 68198-3280
Phone #: (402) 559-6074
Fax #: (402) 559-9560
Email: [email protected]
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:
Vice-Chair
Physician Assistant Member
Page 27 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2019 11/30/2024Zackary B. Gangwer, DPM, FACFAS
2701 West Norfolk Avenue
Norfolk NE 68701
Phone #: (402) 844-8158
Fax #: (402) 844-8157
Email: [email protected]
Chairperson
Podiatrist Member
01/25/2021 11/30/2025Derek R. Miller, DPM
Capital Foot & Ankle
5055 A Street, Suite 400
Lincoln NE 68510
Phone #: (402) 483-4485
Fax #:
Email:
Vice-Chair
Podiatrist Member
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]
Secretary
Podiatrist Member
12/01/2015 11/30/2024R. 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
9/1/2021 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
12/01/2015 11/30/2025Stephanie L. Bruhn, PhD
Lincoln Regional Center
801 W. Prospector Place
Lincoln NE 68522
Phone #: (402) 479-5307
Fax #: (402) 479-5175
Email: [email protected]
Vice-Chair
Psychologist Member
01/26/2016 11/30/2024Jennifer L. Dreibelbis
1030 South 32nd Street
Omaha NE 68105
Phone #: (402) 595-2124
Fax #: (402) 595-2334
Email: [email protected]
Public Member
04/15/2020 11/30/2024Tomeka C. Johnson
P.O. Box 641594
Omaha NE 68164
Phone #: (402) 885-7672
Fax #:
Email:
Public Member
12/01/2017 11/30/2022Mark E. Lukin, PhD
UN-L; University Health Center,
Suite 223
550 North 19th Street
Lincoln NE 68588-0612
Phone #: (402) 472-7450
Fax #: (402) 472-6977
Email: [email protected]
Secretary
Psychologist Member
12/01/2018 11/30/2023Connie L. Petersen, PhD
900 West Norfolk Avenue, Suite 200
Norfolk NE 68701
Phone #: (402) 370-3140, ext. 2103
Fax #: (402) 370-3373
Email: [email protected]
Psychologist Member
12/01/2019 11/30/2024Rebecca A. Schroeder, PhD
P.O. Box 4
Curtis NE 69025
Phone #: (308) 367-7035
Fax #: (308) 367-4141
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]
Chairperson
Psychologist Member
Page 29 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
03/23/2015 11/30/2024Jeremy M. Collinson, REHS
1137 S. Locust Street
Grand Island NE 68801
Phone #: (308) 385-5175
Fax #: (308) 385-5181
Email: [email protected]
Registered Environmental
Health Specialist Member
06/19/2017 11/30/2024Larry L. Hardesty, PhD
7240 West 37th Street
Kearney NE 68845
Phone #:
Fax #:
Email:
Public Member
12/01/2018 11/30/2023Nathan C. Hartman, REHS
Lincoln-Lancaster County Health
Dept.
3131 O Street
Lincoln NE 68510
Phone #: (402) 441-8643
Fax #: (402) 441-3890
Email: [email protected]
Secretary
Registered Environmental
Health Specialist Member
12/01/2018 11/30/2023Kathy L. King, REHS
3131 O Street
Lincoln NE 68510
Phone #: (402) 441-6541
Fax #: (402) 441-3890
Email: [email protected]
Chairperson
Registered Environmental
Health Specialist Member
11/14/2016 11/30/2023Sarah F. Pistillo, REHS
Douglas County Health Dept.
1111 South 41st Street
Omaha NE 68105
Phone #: (402) 444-7231
Fax #: (402) 444-1712
Email:
Vice-Chair
Registered Environmental
Health Specialist Member
09/19/2017 11/30/2024Michael L. Wentink, REHS
DHHS, Division of Drinking Water
200 South Silber Avenue, 1st Floor
North Platte NE 69101
Phone #: (308) 535-8135
Fax #: (308) 535-8175
Email: [email protected]
Registered Environmental
Health Specialist Member
Page 30 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
06/14/2021 11/30/2026Rene A. Botts
c/o DHHS Licensure Unit,
Rehabilitation and Community
Services Section
PO Box 94986
Lincoln NE 68509-4986
Phone #:
Fax #:
Email:
Public Member
12/01/2019 11/30/2024Ryan A. Martin, MD, M.Ed
1500 South 48th Street, Suite 800
Lincoln NE 68506
Phone #: (402) 483-8600
Fax #:
Email: [email protected]
Secretary
Physician Member
12/01/2016 11/30/2021Joseph E. Rush, BS, RRT,
RRT-NPS
Beatrice Community Hospital &
Health Center
P.O. Box 278
Beatrice NE 68310-0278
Phone #: (402) 223-7348
Fax #: (402) 223-7349
Email: [email protected]
Chairperson
Respiratory Care Practitioner
Member
12/01/2015 11/30/2025Jill H. Sand, M.Ed., RRT
5637 Dogwood Drive
Lincoln NE 68516
Phone #: (402) 437-2781
Fax #: (402) 437-2592
Email: [email protected]
Vice-Chair
Respiratory Care Practitioner
Member
Page 31 of 32
BOARD MEMBER LIST -- PUBLICCurrent as of
9/1/2021 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
12/01/2019 11/30/2024Christopher G. Byers, DVM,
DACVECC, DACVIM (SAIM), LVJ
4321 North 136th Street
Omaha NE 68164
Phone #: (402) 614-9000
Fax #: (310) 442-4429
Email: [email protected]
Secretary
Veterinarian Member
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:
Chairperson
Veterinarian Member
12/01/2020 11/30/2025Donovan C. Hauser, DVM
3010 N. North Road
Grand Island NE 68803
Phone #: (308) 384-6272
Fax #: (308) 384-0984
Email: [email protected]
Veterinarian Member
01/25/2021 11/30/2024Deborah S. Hoffnung, PhD
6829 North 72nd Street, Suite 4700
Omaha NE 68122
Phone #: (402) 572-2169
Fax #: (402) 572-3749
Email: [email protected]
Public 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]
Vice-Chair
Veterinary Technician
Member
Page 32 of 32
