JACQUELYN NICHOLE SWIM (NPI# 1235554163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235554163 |
| Entity Type | Individual |
| Full Name | JACQUELYN NICHOLE SWIM |
| Credential | ARNP |
| Practice Address |
12327 Stratford Dr Clive IA 50325-8148 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 5152247088 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A132837 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 204 N 4th Ave E, Newton, IA 502083135 | 5152247088 | 5152249228 |
| 405 Monroe St, Pella, IA 502191189 | 5152247088 | 5152249228 |
| Street Address |
12327 STRATFORD DR |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792958 | Ava Risa Feldman | Dermatology | 12327 Stratford Dr, Clive, IA 50325-8148 | 2005-07-05 |
| 1477076628 | Forefront Dermatology, S.c. | Dermatology | 12327 Stratford Dr, Clive, IA 50325 | 2017-07-19 |
| 1487106084 | Jenny Myers | Nurse Practitioner | 12327 Stratford Dr, Clive, IA 50325-8148 | 2016-10-29 |
| 1447600945 | Imge Hulur | Dermatology | 12327 Stratford Dr, Clive, IA 50325-8148 | 2016-06-15 |
| 1669786273 | Seth R Robb | Physician Assistant | 12327 Stratford Dr, Clive, IA 50325-8148 | 2010-08-06 |
| 1154479764 | Rachel R Ford | Physician Assistant | 12327 Stratford Dr, Clive, IA 50325-8148 | 2007-01-08 |
| 1891862033 | Heartland Dermatolgy & Skin Cancer Center PC | Dermatology | 12327 Stratford Dr, Clive, IA 50325-8148 | 2006-11-30 |
| 1023087426 | Kelly Marie Thomason | Physician Assistant | 12327 Stratford Dr, Clive, IA 50325-8148 | 2006-03-16 |
| 1053310656 | Gloria J Thielking | Physician Assistant | 12327 Stratford Dr, Clive, IA 50325-8148 | 2005-07-18 |
| 1841298858 | Marie Emma Kresse | Physician Assistant | 12327 Stratford Dr, Clive, IA 50325-8148 | 2005-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986257 | Morgan Michelle Hemer | Nurse Practitioner | 1378 Nw 124th St # 8151, Clive, IA 50325-8151 | 2020-06-09 |
| 1033561295 | Paula Elizabeth Stageman | Nurse Practitioner | 12499 University Ave, Suite 280, Clive, IA 50325-8288 | 2016-07-11 |
| 1275994758 | Debra Jameson | Nurse Practitioner | 1601 Nw 114th Street, Suite 257, Clive, IA 50325-7036 | 2016-03-11 |
| 1699177360 | Trisha Hittenmiller | Nurse Practitioner | 12499 University Ave, Ste 200, Clive, IA 50325-8281 | 2014-09-24 |
| 1881020436 | Charleen Annette Ostrem | Nurse Practitioner | 1601 Nw 114th St Ste 342, Clive, IA 50325-7036 | 2013-09-15 |
| 1104191113 | Jamie Butterworth | Nurse Practitioner | 1601 Nw 114th St., Suite: 245, Clive, IA 50325-7036 | 2012-03-09 |
| 1649560236 | Urban Effects Medspa Inc. | Nurse Practitioner | 2480 Berkshire Pkwy, Suite B, Clive, IA 50325-4683 | 2011-04-15 |
| 1710211594 | Elizabeth A Gudgel | Nurse Practitioner | 1601 Nw 114th Street, Suite 257, Clive, IA 50325-7036 | 2009-09-25 |
| 1790857134 | Linda G. Hughes | Nurse Practitioner | 12493 University Ave, Ste 110, Clive, IA 50325-8286 | 2006-11-14 |
| 1730198508 | Vicki Joanne Sease Giesselmann | Nurse Practitioner | 1601 Nw 114th St, Suite 247, Clive, IA 50325-7007 | 2006-08-07 |
| Find all providers in CLIVE | ||||
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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.