KEVIN J DIRKSEN


Address: 3421 W 9th St, Waterloo, IA 50702-5401
Phone: 7575614487

KEVIN J DIRKSEN (NPI# 1063992857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063992857
Entity Type Individual
Full Name KEVIN J DIRKSEN
Credential ARNP
Practice Address 3421 W 9th St
Waterloo
IA 50702-5401
Practice Telephone 7575614487
Mailing Telephone 3192728349
Mailing Fax Number 3192728355
Enumeration Date 2018-08-21
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 6124 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
H161051 IA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
2464790 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
6124 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KEVIN DIRKSEN

NPI Name Taxonomy Address Enumeration
1053891168 Kevin M Dirksen Nurse Practitioner 801 Pro Dr Ste D2, Celina, OH 45822-3307 2018-08-17

Office Location

Street Address 3421 W 9TH ST
City WATERLOO
State IA
Zip Code 50702-5401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740287614 Nicholas J Goetsch Family Medicine 3421 W 9th St, Waterloo, IA 50702-5401 2005-07-06
1770101263 Aaron Russell Haubrich Podiatrist 3421 W 9th St, Waterloo, IA 50702-5401 2020-07-10
1629694682 Nadia Nikoueiha Podiatrist 3421 W 9th St, Waterloo, IA 50702-5401 2020-06-24
1386278117 Kirre Hannan Pharmacist 3421 W 9th St, Waterloo, IA 50702-5401 2020-03-02
1265094239 Samuel Bernard Podiatrist 3421 W 9th St, Waterloo, IA 50702-5401 2019-07-01
1306408125 Trent Boyer Podiatrist 3421 W 9th St, Waterloo, IA 50702-5401 2019-07-01
1467017921 John Jacob Zion Kelly Nurse Practitioner 3421 W 9th St, Waterloo, IA 50702-5401 2019-05-09
1003381963 Tyler James Goebel Pharmacist 3421 W 9th St, Waterloo, IA 50702-5401 2018-10-08
1164907465 Samantha Wheeler Pharmacist 3421 W 9th St, Waterloo, IA 50702-5401 2018-10-02
1306322201 Erica Seybold Podiatrist 3421 W 9th St, Waterloo, IA 50702-5401 2018-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684709 Peoples Community Health Clinic, Inc Clinic/Center 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 2020-09-23
1346867439 Kinza Ali Family Medicine 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 2020-07-06
1073176533 Sandeep Badyal Family Medicine Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 2019-04-19
1619530763 Sophia Tariq Qureshi Family Medicine Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 2019-04-15
1659869915 Alicia M Johnson Advanced Practice Midwife 439 King Street, Waterloo, IA 50702 2018-04-23
1427591411 Alexandra E. Becker Specialist/Technologist 4157 Mourning Dove Drive, Waterloo, IA 50702 2016-11-23
1255793196 Eastern Iowa Therapeutics PC Physical Therapist 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 2016-03-21
1972859288 Noble Cedar Psychological Institute Psychologist 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 2012-07-24
1417223363 Rita Marie Menart Counselor 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 2012-03-26
1336411685 Jagpal Singh Suman Hospitalist 3421 West 9th Street, Waterloo, IA 50702 2012-02-02
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235656000 Angela Marie Schmitz Nurse Practitioner 3421 W 9th St Ste 104, Waterloo, IA 50702-5401 2017-08-23
1750837969 Bethany Stafford Nurse Practitioner 1825 Logan Ave, Suite 201, Waterloo, IA 50703-1916 2016-08-28
1649692682 Gabrielle Skye Boysen Nurse Practitioner 1825 Logan Ave, Suite 201, Waterloo, IA 50703-1916 2014-01-10
1588006928 Tabetha Marie Gehrke Nurse Practitioner 2710 Saint Francis Dr Ste 320, Waterloo, IA 50702-5620 2013-07-26
1316208663 Amber Lynn Heller Nurse Practitioner 1825 Logan Ave, Waterloo, IA 50703-1916 2012-06-04
1093095291 Sue A. Bruch Nurse Practitioner 1825 Logan Ave, Suite 201, Waterloo, IA 50703-1916 2011-08-19
1700173028 Kathy Ann Bell-mahler Nurse Practitioner 3421 W 9th St, Waterloo, IA 50702-5401 2011-07-07
1174758239 Rhonda Ann Cue Nurse Practitioner 905 Franklin St, Waterloo, IA 50703-4407 2009-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619578432 Priscilla Sumerlin Nurse Practitioner 320 Adventureland Dr Nw, Altoona, IA 50009-4234 2020-11-06
1487251260 Jonna Lox Nurse Practitioner 14811 Walnut Meadows Dr, Urbandale, IA 50323-2734 2020-10-05
1992259642 Heather M Hitesman Nurse Practitioner 1351 W. Central Park, Suite 3300, Davenport, IA 52804-1889 2016-08-11
1821497538 Dana Marie Jacobs Nurse Practitioner 102 W. Mcmurray Street, Prairie City, IA 50228 2014-08-19
1962485813 Jacqueline K Harris Nurse Practitioner 101 W Washington St, Montezuma, IA 50171-7739 2005-11-23
1841800091 Aliza Scarlett Barkdoll Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-08-03
1104436575 Benjamin Denich Nurse Practitioner 800 Mercy Dr, Council Bluffs, IA 51503-3128 2020-07-31
1356969612 Emily Frances Sutton Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-07-13
1487271102 Katherine Lynn Schroeder Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-06-29
1912523432 Abby Mariah Shumate Nurse Practitioner 1227 E Rusholme St, Davenport, IA 52803-2459 2020-06-20
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Competitor

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City WATERLOO
Zip Code 50702

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Dataset Information

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.

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