MACKENZIE ANN STUCKER (NPI# 1003315276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003315276 |
| Entity Type | Individual |
| Full Name | MACKENZIE ANN STUCKER |
| Credential | TC.A.D.C. |
| Practice Address |
2030 Keokuk St Iowa City IA 52240-4456 |
| Practice Telephone | 3193519760 |
| Practice Fax Number | 3193519760 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
2030 KEOKUK ST |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032443 | Morgan P Foley | Substance Abuse Rehabilitation Facility | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2018-02-02 |
| 1164032934 | Awakening Substance Abuse & Behavioral Health | Clinic/Center | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2020-08-05 |
| 1760048060 | Mary Elizabeth Schiotis | Counselor | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032443 | Morgan P Foley | Substance Abuse Rehabilitation Facility | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2018-02-02 |
| 1801952205 | Resolutions Substance Abuse Services | Substance Abuse Rehabilitation Facility | 220 Lafayette St, Iowa City, IA 52240-1746 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525308 | St. Gregory Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1985 Ne 51st Pl, Des Moines, IA 50313-2517 | 2016-09-09 |
| 1477974244 | House of Mercy | Substance Abuse Rehabilitation Facility | 511 E 21st St S, Newton, IA 50208-5104 | 2013-12-23 |
| 1750511143 | St Gregory Centers, Inc | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2009-07-20 |
| 1568609360 | The Abbey | Substance Abuse Rehabilitation Facility | 1401 Central Ave, Bettendorf, IA 52722-6034 | 2009-01-15 |
| 1386810646 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 928 Main St, Keokuk, IA 52632-4655 | 2008-05-06 |
| 1043486400 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 304 Highway 61 N, Wapello, IA 52653-1243 | 2008-05-06 |
| 1174723118 | Fort Dodge Ywca Women's Halfway House | Substance Abuse Rehabilitation Facility | 826 1st Ave N, Fort Dodge, IA 50501-3906 | 2007-07-18 |
| 1871641159 | Clearview Recovery, Inc. | Substance Abuse Rehabilitation Facility | 501 N Sherman St, Prairie City, IA 50228-8666 | 2007-01-05 |
| 1366507790 | Community and Family Resources | Substance Abuse Rehabilitation Facility | 211 Avenue M, Fort Dodge, IA 50501-5789 | 2006-12-26 |
| 1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.