BILLIE L TACK (NPI# 1003866674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003866674 |
| Entity Type | Individual |
| Full Name | BILLIE L TACK |
| Other Name | BILLIE L HOLLE |
| Credential | ARNP |
| Practice Address |
915 13th Ave N Clinton IA 52732-5067 |
| Practice Telephone | 5632462511 |
| Practice Fax Number | 5632430817 |
| Mailing Telephone | 5632462511 |
| Mailing Fax Number | 5632430817 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F-067399 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BC/BS | 35233 | 01 |
| JOHN DEERE HEALTH | IA01A8 | 01 | |
| IA | 0498519 | 05 | |
| IOWA HEALTH SOLUTIONS | 222235 | 01 | |
| HEALTH ALLIANCE | 084118 | 01 | |
| MIDLANDS CHOICE | 240863 | 01 |
| Street Address |
915 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273772 | James W Roeder | Specialist | 915 13th Ave N, Clinton, IA 52732-5067 | 2005-05-23 |
| 1437764172 | Katie Flood | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-09-10 |
| 1467088823 | Kara Christine Lutes | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-03-18 |
| 1861043010 | Aubrey Matthiesen | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2019-09-27 |
| 1285288795 | Shanna Maureen Krogman | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-08-01 |
| 1275197998 | Mercy Specialty Clinic | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-04-29 |
| 1881169548 | Norval Edson Hoffman IIi | Pharmacist | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-10-09 |
| 1356827802 | Kristie A Rice-melvin | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2018-07-18 |
| 1336642313 | Medical Analgesic Services Inc | Clinic/Center | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-03-15 |
| 1770005001 | Ora Orthopedics PC | Registered Nurse | 915 13th Ave N, Clinton, IA 52732-5067 | 2017-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| 1568474120 | Debra Adams Flegas | Nurse Practitioner | 93 Human Services Rd, Clinton, SC 29325-7546 | 2006-08-12 |
| 1245892710 | Jill Anne Breton | Nurse Practitioner | 360 County Complex Rd Ste 200, Clinton, NC 28328-4846 | 2019-07-03 |
| 1588112999 | Katie Leann Kreamer | Nurse Practitioner | 2635 Lincoln Way, Ste.a, Clinton, IA 52732-7226 | 2016-09-14 |
| 1730427394 | Michelle Bridges Cassel | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2013-01-16 |
| 1326357708 | Jodi Nicole Kilburg | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2010-10-01 |
| 1568510840 | Becky Williams Honrine | Nurse Practitioner | 360 County Complex Rd, Clinton, NC 28328-4778 | 2007-01-05 |
| 1346329976 | Janice Clark | Nurse Practitioner | 507 S 4th St, Clinton, IA 52732-4532 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399011 | Tassie Ann Carter | Nurse Practitioner | 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 | 2011-09-02 |
| 1225317183 | Planned Parenthood of The Heartland | Nurse Practitioner | 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 | 2011-08-10 |
| 1336428291 | Planned Parenthood of The Heartland | Nurse Practitioner | 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 | 2011-08-10 |
| 1992083190 | Planned Parenthood of The Heartland | Nurse Practitioner | 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 | 2011-07-22 |
| 1700020203 | Lindsey J Keonin | Nurse Practitioner | 2304 University Avenue, Des Moines, IA 50311-4316 | 2009-04-28 |
| 1497914758 | Jacqueline Kay Greenfield | Nurse Practitioner | 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 | 2008-06-03 |
| 1710003454 | Julie A Thompson | Nurse Practitioner | 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 | 2007-03-22 |
| 1730219742 | Planned Parenthood of The Heartlan | Nurse Practitioner | 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 | 2007-03-07 |
| 1790841161 | Nina Rae Cullinan | Nurse Practitioner | 727 N West St, Carroll, IA 51401-2348 | 2006-12-29 |
| 1902974538 | Lylia Jean Poland | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2006-12-01 |
| 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.