MS. SHELLY ANN EDWARDS (NPI# 1245671122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245671122 |
| Entity Type | Individual |
| Full Name | MS. SHELLY ANN EDWARDS |
| Credential | ARNP |
| Practice Address |
920 N Quincy Ave Ottumwa IA 52501-3866 |
| Practice Telephone | 6414555200 |
| Practice Fax Number | 6414555150 |
| Mailing Telephone | 6414555200 |
| Mailing Fax Number | 6414555150 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A078405 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | LICENSE # | A078405 | 01 |
| IA | NPI # | 1245671122 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346643 | Shelly Marie Edwards | Homemaker | 7800 Wilkinson Blvd, Charlotte, NC 28214-9148 | 2020-05-06 |
| 1104082569 | Shelly Lynn Edwards | Social Worker | 1333 Wrens Nest Way, Northport, AL 35476-4177 | 2008-08-04 |
| 1902802887 | Shelly J Edwards | Marriage & Family Therapist | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2005-06-24 |
| 1821051327 | Shelly L Edwards | Psychologist | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2006-04-07 |
| Street Address |
920 N QUINCY AVE |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294881 | Joseph Ira Coleman | Obstetrics & Gynecology | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2005-06-08 |
| 1649704370 | Christina Noel Kelley | Physician Assistant | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2017-04-19 |
| 1538601968 | Jennifer Ann Boley | Nurse Practitioner | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2016-11-16 |
| 1215316401 | Allison Marie Crall | Nurse Practitioner | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2015-05-21 |
| 1508101221 | Pella Regional Health Center | Clinic/Center | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2012-12-06 |
| 1407156458 | David Lee Burrows | Nurse Practitioner | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2010-10-25 |
| 1740500099 | Heidi Leigh Van Maanen | Family Medicine | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2010-06-09 |
| 1639108004 | Bret A Moore | Physician Assistant | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2006-06-30 |
| 1548236664 | Elizabeth Siitari | Family Medicine | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2006-02-28 |
| 1447225123 | Stewart John Kanis | Family Medicine | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780968 | Jacy L Kennedy | Nurse Practitioner | 1207 N Jefferson St Ste 1, Ottumwa, IA 52501-2021 | 2019-06-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1508305541 | Laura Medanic | Nurse Practitioner | 1013 Pennsylvania Ave # A-c, Ottumwa, IA 52501-2110 | 2017-02-22 |
| 1265051239 | Stephanie Merrill | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-04-10 |
| 1659904399 | Natasha Ann Myers | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2020-02-21 |
| 1831738871 | Tracy Lynn Clawson | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-12-21 |
| 1407415128 | Sondra Philips | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-06-06 |
| 1043796469 | Jayci Michelle Beamer | Nurse Practitioner | 1009 Pennsylvania Ave, Ottumwa, IA 52501-2108 | 2018-07-18 |
| 1447752464 | Peggy Sue Swank | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-03-06 |
| 1073038220 | Jamie Lee Hyde | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2017-08-09 |
| Find all providers in OTTUMWA | ||||
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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.