KRISTINA GATES (NPI# 1174137061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174137061 |
| Entity Type | Individual |
| Full Name | KRISTINA GATES |
| Practice Address |
604 Lafayette St Ste 202 Waterloo IA 50703-4708 |
| Mailing Address |
7101 N Cicero Ave Ste 200 Lincolnwood IL 60712-2112 |
| Practice Telephone | 8333700719 |
| Practice Fax Number | 5152202272 |
| Mailing Telephone | 2244207133 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
118238 | IA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G160805 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1710503982 | 05 |
| Street Address |
604 LAFAYETTE ST STE 202 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201283 | Eric Euegene Alberts | Registered Nurse | 604 Lafayette St Ste 202, Waterloo, IA 50703-4708 | 2020-09-29 |
| 1245846856 | Dawn Marie Richard | Counselor | 604 Lafayette St Ste 202, Waterloo, IA 50703-4708 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
| 1962025767 | Abby Staudt | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-27 |
| 1700366101 | Kelly Scheffert | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2018-08-16 |
| 1255823506 | Nicole Delagardelle | Nurse Practitioner | 3251 W 9th St, Waterloo, IA 50702 | 2018-06-02 |
| 1962999672 | Merve Akova | Nurse Practitioner | 146 W Dale St Ste 101, Waterloo, IA 50703-1901 | 2018-04-18 |
| 1932652757 | Kelsie Swisher | Nurse Practitioner | 3251 W 9th St, Waterloo, IA 50702-5310 | 2016-07-28 |
| 1003216839 | Evans Komen | Nurse Practitioner | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2014-08-29 |
| 1154637692 | Joellen Cizek Kubik | Nurse Practitioner | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 | 2010-08-22 |
| 1598907545 | Michele D Moldrem | Nurse Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298 | 2009-04-06 |
| 1013115757 | Dianna Kay Magginetti | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2007-07-03 |
| Find all providers in WATERLOO | ||||
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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.