MRS. NICOLE MARIE BACCAM (NPI# 1154666527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154666527 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE BACCAM |
| Credential | ARNP |
| Practice Address |
1201 3rd Ave Se Linn Community Care Cedar Rapids IA 52403-4009 |
| Practice Telephone | 3197307321 |
| Practice Fax Number | 3197307366 |
| Mailing Telephone | 3197307321 |
| Mailing Fax Number | 3197307366 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2013-02-22 |
| 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 |
F110857 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 3RD AVE SE LINN COMMUNITY CARE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244272 | Sidney J Smith | Obstetrics & Gynecology | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2005-09-08 |
| 1164049680 | Brianne Renee Benjamin | Nurse Practitioner | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2020-06-30 |
| 1467912402 | Zahn Raubenheimer | Student in an Organized Health Care Education/Training Program | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2019-03-25 |
| 1821583253 | Tiernan Patrick Murphy | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-06-27 |
| 1619461357 | Kati Ann Carpenter | Nurse Practitioner | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-06-17 |
| 1699269431 | Danielle Renee' Howsare | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-06-15 |
| 1891287744 | Callie Rose Pittard | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-06-05 |
| 1073004222 | Kyle Alan Cassidy-wescott | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-05-23 |
| 1932696242 | Oleksandra Bem | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-04-23 |
| 1982111761 | Natalie A Quinn | Social Worker | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1558331439 | Phyllis R Green | Nurse Practitioner | 3425 1st Ave Se, Suite 100, Cedar Rapids, IA 52402-6155 | 2006-01-24 |
| 1679956379 | Rebecca S Hammes | Nurse Practitioner | 855 A Avenue Ne, Suite 200, Cedar Rapids, IA 52402-5057 | 2015-06-30 |
| 1811388440 | Jennifer Burgett | Nurse Practitioner | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2015-02-18 |
| 1952728735 | Amy Kathryn Steger | Nurse Practitioner | 788 8th Ave Se Ste 100, Cedar Rapids, IA 52401-2106 | 2014-03-18 |
| 1730528225 | Sara Cathryn Olmstead | Nurse Practitioner | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2013-06-18 |
| 1285078196 | Nicole Marie Myers | Nurse Practitioner | 855 A Avenue Ne, Cedar Rapids, IA 52402 | 2013-04-22 |
| 1578658738 | St. Luke's Methodist Hospital | Nurse Practitioner | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2006-10-04 |
| 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 |
| 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 |
| 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 |
| 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 |
| 1407921554 | Central Iowa Family Planning Inc. | Nurse Practitioner | 704 May St, Marshalltown, IA 50158-3437 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
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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.