RAQUEL S RISTAU (NPI# 1265934384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265934384 |
| Entity Type | Individual |
| Full Name | RAQUEL S RISTAU |
| Credential | PAC |
| Practice Address |
120 2nd Ave Se Waukon IA 52172-2073 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 5635683000 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 090856 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1265934384 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 1st St Se, Waukon, IA 521722022 | 5635683411 | 5635686139 |
| Street Address |
120 2ND AVE SE |
| City | WAUKON |
| State | IA |
| Zip Code | 52172-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896046 | Andrea Lynn Venteicher | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2005-10-27 |
| 1316507858 | Morgan Leigh Smerud | Optometrist | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2019-06-17 |
| 1053775015 | Kristin T Tang | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2016-04-06 |
| 1760821045 | Jessica Marie Everman | Physician Assistant | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2013-06-19 |
| 1710100938 | Melissa M Simon | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2007-04-10 |
| 1679577068 | James P Rixen | Optometrist | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
| 1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
| 1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| 1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1720173990 | Northeast Iowa Dental Professional Corporation | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-10-04 |
| 1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
| 1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
| 1528058062 | David B Schwartz | Hospitalist | 40 1st St Se, Waukon, IA 52172 | 2005-10-26 |
| Find all providers in zip 52172 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1992311435 | Elli Kay Vore | Physician Assistant | 4327 129th St, Urbandale, IA 50323-2480 | 2020-09-21 |
| 1023624699 | Vivara Rages | Physician Assistant | 3054 Cherrywood Dr, Bettendorf, IA 52722-7550 | 2020-09-19 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1912521444 | Charles Bradley Walters | Physician Assistant | 201 S Clinton St # 168, Iowa City, IA 52240-4034 | 2020-06-01 |
| 1972124956 | Michaela J Maliszewski | Physician Assistant | 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 | 2020-05-01 |
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1336774488 | Jakob J. Olson | Physician Assistant | 2751 Northgate Dr Ste 1, Iowa City, IA 52245-9509 | 2020-03-10 |
| 1215561006 | Paul David Kretkowski | Physician Assistant | 714 N Johnson St, Iowa City, IA 52245-2014 | 2020-03-02 |
| 1154962983 | Megan Wulf | Physician Assistant | 24141 80th Ave, Walcott, IA 52773-9737 | 2019-10-02 |
| 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.