MRS. DONELLA RAYE CHADWICK-KERMEEN (NPI# 1164089025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164089025 |
| Entity Type | Individual |
| Full Name | MRS. DONELLA RAYE CHADWICK-KERMEEN |
| Credential | APRN |
| Practice Address |
21367 Old Lincoln Hwy Crescent IA 51526-4087 |
| Practice Telephone | 4026126113 |
| Mailing Telephone | 4026126113 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 099298 | NE | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A154776 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21367 OLD LINCOLN HWY |
| City | CRESCENT |
| State | IA |
| Zip Code | 51526-4087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346310398 | Town of Crescent Ia | Ambulance | 102 W Florence St, Crescent, IA 51526 | 2006-11-08 |
| 1114568938 | Lori Scott | Technician | 1014 Silver Ln, Crescent, IA 51526-3620 | 2019-10-02 |
| 1568659423 | Nicole Dawn Villarreal | Pediatrics | 16856 Oak Valley Rd, Crescent, IA 51526-4226 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1356965628 | Amber Dawn Taylor | Occupational Therapy Assistant | 11150 Wolf Creek Dr, Crescent, OK 73028-9350 | 2020-06-02 |
| 1114568938 | Lori Scott | Technician | 1014 Silver Ln, Crescent, IA 51526-3620 | 2019-10-02 |
| 1083255004 | Pittsburgh Mobile Chiropractic | Chiropractor | 637 Prospect St, Crescent, PA 15046-5450 | 2019-10-01 |
| 1578024774 | Crescent Dental Group Pllc | Dentist | 120 N Grand, Crescent, OK 73028 | 2019-03-29 |
| 1912447558 | Dana K Larue | Specialist | 14685 W Van Buren St, Crescent, OK 73028-8789 | 2017-03-01 |
| 1659706075 | Gaye Labeth Backer | Counselor | 316 S Grand St, Crescent, OK 73028-9104 | 2013-09-04 |
| 1295178929 | Jocelyn Janea Humphrey | Speech-Language Pathologist | 11803 W Cooksey Rd, Crescent, OK 73028-8774 | 2013-04-11 |
| 1013267889 | Jessica Stawasz | Occupational Therapy Assistant | 1747 Heather Heights Dr, Crescent, PA 15046-3807 | 2012-09-19 |
| 1093065682 | Tabetha Nicole Mathiesen | Speech-Language Pathologist | 205 E Cimarron Blvd, Crescent, OK 73028-9296 | 2012-09-11 |
| Find all providers in CRESCENT | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457633802 | Linda Carol Best | Nurse Practitioner | 613 W Van Buren, Crescent, OK 73028-0000 | 2011-09-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.