MRS. JODI BANGASSER (NPI# 1023465267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023465267 |
| Entity Type | Individual |
| Full Name | MRS. JODI BANGASSER |
| Credential | ARNP |
| Practice Address |
312 9th St Sw Waverly IA 50677-2929 |
| Mailing Address |
338 Hickory St Allison IA 50602-7801 |
| Practice Telephone | 3194831365 |
| Practice Fax Number | 3193523992 |
| Mailing Telephone | 6414254346 |
| Mailing Fax Number | 3192672234 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
H095679 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
312 9TH ST SW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364240 | Todd Larry Shover | Emergency Medicine | 312 9th St Sw, Waverly, IA 50677-2929 | 2005-05-27 |
| 1821600263 | Rachel Ann Sedlacek | Physical Therapist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-08-18 |
| 1578171294 | Rachel Hannah Cassens | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-07-20 |
| 1568093821 | Cassidy Riden | Speech-Language Pathologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-01-27 |
| 1285264630 | Ellen Elizabeth Jacque | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2999 | 2020-01-23 |
| 1689229080 | Stacy Jo Huck | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-08-03 |
| 1538721394 | Shelby Marie Reiter | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-07-02 |
| 1477113405 | Natalie Marie Klobassa | Physical Therapist | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-06-20 |
| 1922666528 | Kelsey Masters | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-05-30 |
| 1215590153 | Tiffanie Lapan | Nurse Anesthetist, Certified Registered | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532777 | Maria R Hawkins | Nurse Practitioner | 714 Jennings St, Sioux City, IA 51105-1920 | 2020-09-10 |
| 1578174975 | Brittany Mae Vondrak | Nurse Practitioner | 23181 C60, Hinton, IA 51024-9038 | 2020-08-11 |
| 1881203933 | Jennifer Rucker | Nurse Practitioner | 1775 Randall Pl, Dubuque, IA 52003-7282 | 2020-07-24 |
| 1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
| 1104335496 | Amy Waterman | Nurse Practitioner | 118 North 7th Avenue, Sheldon, IA 51201 | 2017-09-29 |
| 1962923417 | Jody Lynn Horstman | Nurse Practitioner | 1089 Jordan Creek Pkwy Ste 116, West Des Moines, IA 50266-5829 | 2017-07-05 |
| 1558728030 | Cameron Elizabeth Broihier | Nurse Practitioner | 3211 S 26th Ave, Eldridge, IA 52748-9304 | 2016-01-28 |
| 1558333708 | Debra K Ladd | Nurse Practitioner | 2419 2nd Ave N., Fort Dodge, IA 50501 | 2006-02-02 |
| 1306843818 | Jamie L Hicks | Nurse Practitioner | 1004 21st St Unit 2, Milford, IA 51351-7421 | 2005-06-30 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
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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.