MS. KATHRYN ANN HAACK (NPI# 1225118078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225118078 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN ANN HAACK |
| Credential | ARNP - FNP-C |
| Practice Address |
2720 Stone Park Blvd Suite 110 Sioux City IA 51102 |
| Mailing Address |
P.o. Box 3128 Sioux City IA 51102 |
| Practice Telephone | 7122394702 |
| Practice Fax Number | 7122390616 |
| Mailing Telephone | 7122394702 |
| Mailing Fax Number | 7122390616 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A055923 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | A-055923 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0092080 | 05 |
| Street Address |
2720 STONE PARK BLVD SUITE 110 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285694497 | Eric Luebbert | Radiology | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2006-03-23 |
| 1972100618 | David Tillman | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-10-06 |
| 1609487867 | Kay Lynn Erickson | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-08-12 |
| 1790301182 | Allen Cogswell | Anesthesiology | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-06-22 |
| 1063038420 | Patrick Menke | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-06-22 |
| 1215550165 | Emily London | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-05-27 |
| 1083243000 | Brianna Lynn Sommervold | Social Worker | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-04-02 |
| 1851921332 | Amanda Joy Versteeg | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-01-23 |
| 1710534219 | Rebekah A Morgan | Physician Assistant | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-20 |
| 1902452030 | Erin Michelle Mothershead | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932436904 | Bushra Nauman | Anesthesiology | 801 Fifth St, Anesthesia Dept, Spencer, IA 51102 | 2009-11-11 |
| 1225430416 | Brian Paugh | Physician Assistant | 801 5th St, Sioux City, IA 51102 | 2014-09-19 |
| 1356578256 | Ryan Timothy Baller | Dentist | 1021 Nebraska St, Sioux City, IA 51102 | 2009-06-18 |
| 1366576563 | Michelle Lynn Hardie | Physician Assistant | 801 5th St, Ste 410, Sioux City, IA 51102 | 2007-03-16 |
| 1245395847 | Area Education Agency No #13 | Local Education Agency (LEA) | Hwy 92 East, Council Bluffs, IA 51102-1109 | 2006-12-26 |
| 1659345668 | Jerome Pierson | Internal Medicine | 801 5th St, Ste 410, Sioux City, IA 51102-1394 | 2006-02-15 |
| 1336205566 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4480 Sergeant Rd, Sioux City, IA 51102-4703 | 2006-12-30 |
| 1629122015 | Teri L Griep Langholz | Registered Nurse | 1021 Nebraska Street, Sioux City, IA 51102-5410 | 2007-01-22 |
| 1639223027 | Sarah Rose Davis | Social Worker | 1021 Nebraska Street, Sioux City, IA 51102-5410 | 2007-01-22 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988352 | Angela Marie Vaul | Nurse Practitioner | 2201 Rebecca St, Sioux City, IA 51103-2030 | 2018-07-18 |
| 1881692473 | Susan Marie Beidler | Nurse Practitioner | 3303 Rebecca St, Sioux City, IA 51104-2324 | 2005-07-08 |
| 1720695224 | Justin Hargrave | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-29 |
| 1619583010 | Michael Dennis Quinlivan | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-09-21 |
| 1528608528 | Jennifer Lucart | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-01-08 |
| 1063061042 | Daniela Ferrell | Nurse Practitioner | 801 5th St Ste 201, Sioux City, IA 51101-1326 | 2019-09-11 |
| 1962057935 | Shannon R Merk | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-07 |
| 1194388074 | Woodbury Physician Services, PC | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2019-04-17 |
| 1861965089 | Alexis Mae Semmler | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2019-01-10 |
| 1326524844 | Michaela Kristine Anderson | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2018-07-17 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51102 |
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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.