ALISA KINDIG (NPI# 1124440102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124440102 |
| Entity Type | Individual |
| Full Name | ALISA KINDIG |
| Credential | CWHNP |
| Practice Address |
5409 Avenue O Fort Madison IA 52627-9601 |
| Mailing Address |
Po Box 1470 Fort Madison IA 52627-1470 |
| Practice Telephone | 3193762134 |
| Practice Fax Number | 3193762188 |
| Mailing Telephone | 3193762134 |
| Mailing Fax Number | 3193762188 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F148416 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2014005732 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PENDING | 05 | |
| MO | 1124440102 | 05 | |
| MO | RR MCR | PENDING | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1965 S Fremont Ave, Ste 270, Springfield, MO 658042201 | 4178203890 |
| Street Address |
5409 AVENUE O |
| City | FORT MADISON |
| State | IA |
| Zip Code | 52627-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814179 | Michael D David | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2005-07-12 |
| 1205315116 | Michelle Lynn Hornung | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2018-08-10 |
| 1457877177 | Carrie Skibba | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-15 |
| 1659896587 | Nicole Frances Wilcox | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-11 |
| 1902327604 | Bobbi Jo Marshall | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-07-03 |
| 1629506829 | Mariah Skelley | Registered Nurse | 5409 Avenue O, Fort Madison, IA 52627 | 2017-06-01 |
| 1679008635 | Kyle Gibson | Physician Assistant | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-04-27 |
| 1821531203 | Rural Surgical Relief, PC | Surgery | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-12-02 |
| 1700331311 | Gwendolyn Scott | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-08-24 |
| 1518349539 | Ruth Barosy | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421839 | Midwest Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 2310 Ave L, Fort Madison, IA 52627 | 2012-06-12 |
| 1013169929 | Sunnybrook of Ft. Madison | Assisted Living Facility | 5052 River Valley Road, Ft. Madison, IA 52627 | 2008-10-22 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1679794432 | Paul Scot Kunch | Dentist | 1605 Avenue A, Fort Madison, IA 52627 | 2007-05-01 |
| 1245364033 | David R Courtney | Dentist | 525 Avenue G, Fort Madison, IA 52627 | 2007-03-15 |
| 1578664249 | Rashid Pharmacy Plc | Durable Medical Equipment & Medical Supplies | 2404 Ave L, Fort Madison, IA 52627 | 2006-09-26 |
| 1033174628 | Leah Steffensmeier | Obstetrics & Gynecology | Fort Madison Physicians and Surgeons, 5409 Avenue O, Fort Madison, IA 52627 | 2006-04-18 |
| 1396705190 | Larry George Rounds | Chiropractor | 1605 Ave E, Fort Madison, IA 52627 | 2006-03-24 |
| 1063490407 | Air Evac Ems Inc | Ambulance | 5433 Avenue O, Fort Madison, IA 52627 | 2006-01-05 |
| 1992281984 | L.d Peck,pc | Optometrist | 716 Avenue G, Fort Madison, IA 52627 | 2018-07-13 |
| Find all providers in zip 52627 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317183 | Planned Parenthood of The Heartland | Nurse Practitioner | 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399011 | Tassie Ann Carter | Nurse Practitioner | 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 | 2011-09-02 |
| 1336428291 | Planned Parenthood of The Heartland | Nurse Practitioner | 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 | 2011-08-10 |
| 1992083190 | Planned Parenthood of The Heartland | Nurse Practitioner | 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 | 2011-07-22 |
| 1700020203 | Lindsey J Keonin | Nurse Practitioner | 2304 University Avenue, Des Moines, IA 50311-4316 | 2009-04-28 |
| 1497914758 | Jacqueline Kay Greenfield | Nurse Practitioner | 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 | 2008-06-03 |
| 1710003454 | Julie A Thompson | Nurse Practitioner | 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 | 2007-03-22 |
| 1730219742 | Planned Parenthood of The Heartlan | Nurse Practitioner | 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 | 2007-03-07 |
| 1790841161 | Nina Rae Cullinan | Nurse Practitioner | 727 N West St, Carroll, IA 51401-2348 | 2006-12-29 |
| 1902974538 | Lylia Jean Poland | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2006-12-01 |
| 1861560708 | Margaret Ann Beatty | Nurse Practitioner | 918 E 9th St, Spencer, IA 51301-4746 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT MADISON |
| Zip Code | 52627 |
Please comment or provide details below to improve the information on ALISA KINDIG.
| 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.