KENNA MARIE WILLEY (NPI# 1063642270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063642270 |
| Entity Type | Individual |
| Full Name | KENNA MARIE WILLEY |
| Other Name | KENNA MARIE WHEELDON |
| Credential | PA-C |
| Practice Address |
801 Colonial Cir Norwalk IA 50211-9626 |
| Practice Telephone | 5152853200 |
| Practice Fax Number | 5152853232 |
| Mailing Telephone | 5152853200 |
| Mailing Fax Number | 5152853232 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002012 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002012 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 COLONIAL CIR |
| City | NORWALK |
| State | IA |
| Zip Code | 50211-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841259504 | William W Chase | Family Medicine | 801 Colonial Cir, Ste 200, Norwalk, IA 50211-9626 | 2006-03-21 |
| 1922447234 | Laura Kay Nielsen | Family Medicine | 801 Colonial Cir, Norwalk, IA 50211-9626 | 2013-06-19 |
| 1346537560 | Callie A Waller | Family Medicine | 801 Colonial Cir, Norwalk, IA 50211-9626 | 2011-07-08 |
| 1629089974 | Jason Daniel Brehmer | Family Medicine | 801 Colonial Cir, Norwalk, IA 50211-9626 | 2006-08-11 |
| 1134189640 | Andrea J. Silvers | Family Medicine | 801 Colonial Cir, Norwalk, IA 50211-9626 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093362105 | Beverly Frideres | Technician | 4827 Lakewood Drive, Norwalk, IA 50211 | 2019-08-22 |
| 1043738537 | Natalie Elaine Sheehey | Counselor | 9451 Switchgrass Trail, Norwalk, IA 50211 | 2017-09-05 |
| 1265837538 | Sarah Andreesen | Pharmacist | 2521 Sunset Dr Ste 1, Norwalk, IA 50211 | 2014-10-29 |
| 1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
| 1154359222 | Jesse Roy Stumbaugh | Chiropractor | 1300 Sunset Drive, Norwalk, IA 50211 | 2006-06-29 |
| 1285194670 | Arch Foot and Ankle, P.C. | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2019-03-21 |
| 1245442623 | Pamela J Young | Optometrist | 1228 Sunset Dr Ste A, Norwalk, IA 50211 | 2007-05-05 |
| 1508929589 | Stumbaugh Inc | Chiropractor | 1300 Sunset Dr, Norwalk, IA 50211 | 2006-12-19 |
| 1962951442 | Bear Rx, LLC | Durable Medical Equipment & Medical Supplies | 1122 Main St Ste 5, Norwalk, IA 50211-1231 | 2016-09-26 |
| 1154729986 | Elwood Chiropractic | Chiropractor | 1122 Main St Ste 2, Norwalk, IA 50211-1231 | 2014-12-10 |
| Find all providers in zip 50211 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
| 1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
| 1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
| 1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
| 1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
| 1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
| 1609966993 | Shantell S Wray | Physician Assistant | 350 Main Ave, C/o Dr. Appleby School Based Health Center At Briggs Hs, Norwalk, CT 06851-1510 | 2006-10-15 |
| 1265448294 | Glenn Michael De Guzman | Physician Assistant | 13330 Bloomfield Ave Ste 111, Norwalk, CA 90650-3264 | 2006-07-31 |
| 1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
| 1114914744 | Gloria Degenhardt | Physician Assistant | 200 W North St., Norwalk, WI 54648-0225 | 2005-09-29 |
| Find all providers in NORWALK | ||||
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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.