JACQUELYN STORTENBECKER (NPI# 1316385271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316385271 |
| Entity Type | Individual |
| Full Name | JACQUELYN STORTENBECKER |
| Other Name | JACQUELYN GRAVETT |
| Credential | PA |
| Practice Address |
306 N 3rd Ave E Newton IA 50208-3249 |
| Practice Telephone | 6417924012 |
| Practice Fax Number | 6417910697 |
| Mailing Telephone | (641) 792-4012 |
| Mailing Fax Number | 6417910697 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002403 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
306 N 3RD AVE E |
| City | NEWTON |
| State | IA |
| Zip Code | 50208-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285706101 | James M Christianson | Counselor | 306 N 3rd Ave E, Newton, IA 50208-3298 | 2006-11-15 |
| 1760984942 | Renae Annette Richtsmeier-northcutt | Social Worker | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2018-03-05 |
| 1124528526 | Kristi Ann Howerton | Social Worker | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2018-02-13 |
| 1861839631 | Vanessa Marie Shileny | Social Worker | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2013-06-03 |
| 1407141336 | Terra Ann Goldsberry | Physician Assistant | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2011-06-20 |
| 1972830552 | Eliza Paige Lower | Social Worker | 306 N 3rd Ave E, Newton, IA 50208-3298 | 2009-11-03 |
| 1851529689 | Aaron Wayne Seely | Social Worker | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2009-07-01 |
| 1104079888 | Ryan Matthew Comer | Counselor | 306 N 3rd Ave E, Newton, IA 50208-3298 | 2008-10-28 |
| 1003089939 | Larry T Rossow | Counselor | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2008-04-11 |
| 1922279363 | Keri Lynne Racette | Psychologist | 306 N 3rd Ave E, Newton, IA 50208-3249 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642905 | Jennifer Elaine Clodfelter | Pharmacist | 1201 1st Avenue East, Newton, IA 50208 | 2020-06-08 |
| 1578107041 | Benjamin Robert Lehl | Counselor | 1123 1st Ave E, #200, Hewton, IA 50208 | 2019-10-29 |
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1275995045 | Jasper County Health Department | Home Health | 115 N 2nd Avenue E, County Annex Building B-1, Newton, IA 50208 | 2016-03-22 |
| 1346608304 | Caitlyn Boldt | Speech-Language Pathologist | 200 South 8th Ave W, Newton, IA 50208 | 2016-02-05 |
| 1427431725 | Jennifer Kramer | Social Worker | 306 N 3rd Avenue E, Newton, IA 50208 | 2015-07-06 |
| 1669890976 | Newton Village, Inc. | Skilled Nursing Facility | 114 N 5th Ave, Newton, IA 50208 | 2014-04-03 |
| 1922120559 | Lonnie Dean Barton | Dentist | 727 W 11th St S, Newton, IA 50208 | 2007-04-04 |
| 1578690939 | Ambroson Apothecary LLC | Pharmacy | 212 1st Street North, Newton, IA 50208 | 2007-02-27 |
| 1659420214 | Roy Edgar Mount | Dentist | 600 E 17th St N, Suite A, Newton, IA 50208 | 2007-01-10 |
| Find all providers in zip 50208 | ||||
| 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 |
|---|---|---|---|---|
| 1306476783 | Haley Gosnell | Physician Assistant | 1018 N Gaither Ave, Newton, NC 28658-1823 | 2020-01-24 |
| 1902447584 | Kristin Hehir | Physician Assistant | 10 Cumberland Rd, Newton, MA 02465-1802 | 2019-10-04 |
| 1497310239 | Melanie Ann Dibartolomeo Danner | Physician Assistant | 1 Beardall Pl, Newton, NJ 07860-4899 | 2019-05-07 |
| 1144790288 | Travis S Chui | Physician Assistant | 131 Country Club Rd, Newton, MA 02459-3020 | 2018-12-02 |
| 1104287770 | Kathleen Mclean | Physician Assistant | 155 Berkeley St, Newton, MA 02465-2637 | 2016-03-10 |
| 1295135697 | Erica Leigh Whitehead | Physician Assistant | 327 Sunset Ave Sw # 3, Newton, GA 39870 | 2014-09-04 |
| 1265859508 | James Welch Bell | Physician Assistant | 235 Adams Ave, Newton, MA 02465-1502 | 2014-03-25 |
| 1962758649 | Victoria Kresse | Physician Assistant | Cardiology Associates of Sussex County, 222 High Street Suite 205, Newton, NJ 07860-9605 | 2012-07-31 |
| 1932389541 | Kristen Lynn Imbrescia | Physician Assistant | 2000 Washington St Ste 341, Newton, MA 02462-1625 | 2007-11-12 |
| 1003918376 | James Womack | Physician Assistant | 327-3 Sunset Avenue Sw, Newton, GA 39870 | 2006-09-05 |
| Find all providers in NEWTON | ||||
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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.