ANNA C. PRUESS (NPI# 1154604536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154604536 |
| Entity Type | Individual |
| Full Name | ANNA C. PRUESS |
| Credential | A.R.N.P. |
| Practice Address |
411 1st Ave Clarence IA 52216-9744 |
| Practice Telephone | 5634523211 |
| Practice Fax Number | 5634523215 |
| Mailing Telephone | 5634523211 |
| Mailing Fax Number | 5634523215 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-118253 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1154604536 | 05 |
| Street Address |
411 1ST AVE |
| City | CLARENCE |
| State | IA |
| Zip Code | 52216-9744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983966 | David L Askelson | Physician Assistant | 411 1st Ave, Clarence, IA 52216-9744 | 2005-12-21 |
| 1942789250 | Heather Lynn Schott | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2018-08-08 |
| 1598289316 | St Luke's Jones Regional Medical Center | Family Medicine | 411 1st Ave, Clarence, IA 52216-9744 | 2017-08-02 |
| 1194760561 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 411 1st Ave, Clarence, IA 52216-9744 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110739 | City of Clarence | Ambulance | 411 Lombard St., Clarence, IA 52216 | 2005-08-03 |
| 1457484230 | Frederick Russell Drexler | Dentist | 303 5th Avenue, Clarence, IA 52216-0446 | 2007-03-13 |
| 1538109749 | Ann Marie Campagna | Chiropractor | 507 Lombard St, Clarence, IA 52216-7703 | 2006-06-07 |
| 1508849522 | Clarence Nursing Home Inc | Skilled Nursing Facility | 402 2nd Ave, Po Box H, Clarence, IA 52216-9754 | 2005-11-23 |
| 1780088393 | Clarence Nursing Home, Inc | Assisted Living Facility | 402 2nd Ave, Clarence, IA 52216-9754 | 2014-10-13 |
| 1699019844 | Sara J Otten | Physical Therapist | 402 2nd Ave, Clarence, IA 52216-9754 | 2012-11-11 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666778 | Carol Timmons | Nurse Practitioner | 109 N Shelby St, Po Box 132, Clarence, MO 63437-1712 | 2005-08-16 |
| 1366072621 | Danielle Chayban | Nurse Practitioner | 9097 Main St, Clarence, NY 14031-1965 | 2020-01-24 |
| 1609341502 | Allison Peoples Shaw | Nurse Practitioner | 101 N Center St, Clarence, MO 63437-1701 | 2018-10-06 |
| 1700108990 | Creative Enterprises of Clarence | Nurse Practitioner | 101 N Center St, Clarence, MO 63437-1701 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
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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.