MRS. CORISSA VIDAL


Address: 1026 A Ave Ne, Cedar Rapids, IA 52402-5036
Phone: 5635030306

MRS. CORISSA VIDAL (NPI# 1134570278) 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) 1134570278
Entity Type Individual
Full Name MRS. CORISSA VIDAL
Credential PMHNP-BC
Practice Address 1026 A Ave Ne
Cedar Rapids
IA 52402-5036
Practice Telephone 5635030306
Mailing Telephone 5635030306
Enumeration Date 2016-06-30
Last Update Date 2016-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
G126019 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1026 A AVE NE
City CEDAR RAPIDS
State IA
Zip Code 52402-5036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245396 Lileah F Harris Pathology 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2005-06-16
1568063667 Maria Swisher Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-11-04
1306453121 Kathryn Elizabeth Farley Psychologist 1026 A Ave Ne, Cedar Rapids, IA 52402-5074 2020-09-25
1770197436 Brittany Brdicko Social Worker 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-09-01
1396371563 Anthony E Dallago Registered Nurse 1026 A Ave Ne, Cedar Rapids, IA 52402-5074 2020-03-19
1588299622 Michael Sanders Occupational Therapist 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-03-09
1467084319 Julie Ann Karlan Pharmacist 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2020-02-09
1871149914 Tatjana Tajci Covic Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2019-08-14
1437717741 Abigail Lynn Crow Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2019-06-01
1669931382 Med-trans Corporation Ambulance 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2019-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790520 Sara Ann Rausch Counselor 1533 1 Ave Se, Cedar Rapids, IA 52402 2020-05-01
1558995589 Jennifer Christine Hohneke Nurse Practitioner St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 2020-02-28
1073008314 Benjamin Randall Groth Optometrist 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 2018-06-28
1992228621 Synona Culbertson Counselor 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 2017-07-25
1083136410 Compassion North America Home Health Services Corp Hospice Care, Community Based 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 2017-07-07
1861819732 Arj Infusion Services, Inc. Home Infusion 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 2014-03-27
1639475197 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 2011-02-01
1437452919 Empowering Families Inc Early Intervention Provider Agency 5005 Blairsforest Way, Cedar Rapids, IA 52402 2010-12-06
1184937476 Jennifer Becker Counselor 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 2010-07-15
1215179817 William H Fletcher Hearing Instrument Specialist 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 2009-03-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083224844 Amy Leclere Nurse Practitioner 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 2020-08-06
1841300183 Kristen Paige Richardson Nurse Practitioner 1231 Park Pl Ne, Suite Falcon, Cedar Rapids, IA 52402-2018 2006-08-30
1619598869 Katherine Shea Nurse Practitioner 520 11th St Nw, Cedar Rapids, IA 52405-3811 2020-04-29
1629617469 Amy S Morin Nurse Practitioner 520 11th St Nw, Cedar Rapids, IA 52405-3811 2019-12-26
1619460201 Ikama Sasa Nurse Practitioner 520 11th St Nw, Cedar Rapids, IA 52405-3811 2018-06-08
1427408715 Daniell Don Darbyshire Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2016-06-16
1467802124 Jessica Rae Thomas Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2016-06-14
1164821336 Helga-margot Aldape O'brien Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2014-08-14
1821333774 Brittni M Benda Nurse Practitioner 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2012-12-04
1740532803 Jamie Lynn Smith Nurse Practitioner 701 10th St Se, Mercy Outpatient Psychiatry, Cedar Rapids, IA 52403-1251 2012-10-12
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Competitor

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City CEDAR RAPIDS
Zip Code 52402

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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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