MS. AMBER JANE LACINA (NPI# 1033436480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033436480 |
| Entity Type | Individual |
| Full Name | MS. AMBER JANE LACINA |
| Credential | BSN, RN, MSN, APMHNP |
| Practice Address |
111 10th St Sw Waverly IA 50677-2925 |
| Practice Telephone | 3193521353 |
| Practice Fax Number | 3193522329 |
| Mailing Telephone | 3193521353 |
| Mailing Fax Number | 3193522329 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
123916 | IA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G-123916 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0074435 | 05 |
| Street Address |
111 10TH ST SW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114950979 | Pathways Behavioral Services Inc | Community/Behavioral Health | 111 10th St Sw, Waverly, IA 50677-2925 | 2006-07-07 |
| 1871105916 | Lacie Michelle Theis | Nurse Practitioner | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-08-19 |
| 1538790530 | Kelly Fischer | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-01-28 |
| 1619345543 | Elizabeth Victoria Chamberlin | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2015-09-09 |
| 1669855078 | Melanie Tagtow | Social Worker | 111 10th St Sw, Waverly, IA 50677-2925 | 2015-07-02 |
| 1285036947 | Cam Turner | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2014-09-24 |
| 1942577093 | Sabrina Lynn Caudill | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2011-11-17 |
| 1912274069 | Jessica Kay Shipman | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2011-11-17 |
| 1598051567 | Jane Francine Freeseman | Registered Nurse | 111 10th St Sw, Waverly, IA 50677-2925 | 2011-06-28 |
| 1346540549 | Mona Evelyn Krugger | Counselor | 111 10th St Sw, Waverly, IA 50677 | 2010-10-22 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861586208 | Patricia O. Davis | Nurse Practitioner | 80 William Donnelly Parkway, Waverly, NY 14892 | 2006-10-02 |
| 1871105916 | Lacie Michelle Theis | Nurse Practitioner | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-08-19 |
| 1144658527 | Rebecca Brewster | Nurse Practitioner | 227 Valley View Dr, Waverly, OH 45690-9135 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| 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.