CARRIE BRAET (NPI# 1073999868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073999868 |
| Entity Type | Individual |
| Full Name | CARRIE BRAET |
| Other Name | CARRIE RICKETTS |
| Credential | PNP |
| Practice Address |
500 W River Dr Davenport IA 52801-1014 |
| Practice Telephone | 5633363000 |
| Practice Fax Number | 5633363125 |
| Mailing Telephone | 5633363000 |
| Mailing Fax Number | 5633363125 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C-139877 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | PENDING | 05 |
| Street Address |
500 W RIVER DR |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52801-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193224 | Community Health Care, Inc. | Clinic/Center | 500 W River Dr, Davenport, IA 52801-1014 | 2005-09-01 |
| 1932732203 | Audrey Jean Housman | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2020-02-14 |
| 1942859012 | Amy S Fitzgibbon | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2019-09-10 |
| 1730600735 | Heather Morden | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2017-06-29 |
| 1891215190 | Chau Nguyen | Internal Medicine | 500 W River Dr, Davenport, IA 52801-1014 | 2017-06-27 |
| 1275067696 | Olaitan Atinuke Ijitimehin | Internal Medicine | 500 W River Dr, Davenport, IA 52801-1014 | 2017-04-12 |
| 1972034544 | Amee Harms | Pharmacist | 500 W River Dr, Davenport, IA 52801-1014 | 2017-03-24 |
| 1619416013 | Heather Jacobs | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2017-02-17 |
| 1124562723 | Jessica Filiatreau | Counselor | 500 W River Dr, Davenport, IA 52801-1014 | 2016-12-15 |
| 1124560206 | Vicki Hansen | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332820 | Aaron Hartzler | Registered Nurse | 735 Federal Street, Davenport, IA 52801 | 2018-07-09 |
| 1235554916 | Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C. | Chiropractor | 604 West 5th Street, Davenport, IA 52801 | 2014-03-04 |
| 1316218928 | Alcohol & Drug Dependency Services | Clinic/Center | 320 N. Main St., Davenport, IA 52801 | 2012-01-13 |
| 1336640713 | Christopher Zeng-yue Liu | Dentist | 125 Scott St, Davenport, IA 52801 | 2018-02-22 |
| 1861883670 | Reem Oweis | Dentist | 125 Scott St, Davenport, IA 52801 | 2015-02-16 |
| 1184056186 | County of Scott | Public Health or Welfare | 600 W 4th St, Davenport, IA 52801-1003 | 2013-08-01 |
| 1225295488 | Scott County Health Department | Public Health or Welfare | 600 W 4th St, Davenport, IA 52801-1003 | 2008-05-16 |
| 1598076762 | Tonia Rogers | Chiropractor | 604 W 5th St, Davenport, IA 52801-1005 | 2010-06-21 |
| 1629524699 | Scott County Family Young Men's Christian Association | Health Educator | 606 W 2nd St, Davenport, IA 52801-1009 | 2016-08-30 |
| 1528408796 | Anju Chana | Internal Medicine | 500 West River Drive, Davenport, IA 52801-1014 | 2013-07-02 |
| Find all providers in zip 52801 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1225679012 | Janessa Annette Montgomery | Nurse Practitioner | 5510 Utica Ridge Rd, Davenport, IA 52807-2946 | 2019-10-02 |
| 1700398336 | Dana Gant | Nurse Practitioner | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-11-05 |
| 1679098016 | Shelby Marie Pelzer | Nurse Practitioner | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 | 2017-08-07 |
| 1124422985 | Tina Coakley | Nurse Practitioner | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 | 2014-10-22 |
| 1275874273 | Amy Marie Mccormick | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2013-03-15 |
| 1538400718 | Lisa Jo Schilling | Nurse Practitioner | 40124 Highway 27 Ste 207, Davenport, FL 33837-5905 | 2013-03-12 |
| 1205074713 | Melissa Lynn Jobgen | Nurse Practitioner | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 | 2009-01-22 |
| 1275529430 | Beverly A Smith | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2005-09-23 |
| 1255337176 | Brenda L Swanson | Nurse Practitioner | 1351 W Central Park Ave, Ste 4100, Davenport, IA 52804-1847 | 2005-06-24 |
| Find all providers in DAVENPORT | ||||
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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.