ROBERT MATTHEW BALTES (NPI# 1316561970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316561970 |
| Entity Type | Individual |
| Full Name | ROBERT MATTHEW BALTES |
| Credential | MSN, ARNP, PMHNP-BC |
| Practice Address |
1200 1st Ave E Ste 1 Spencer IA 51301-4330 |
| Practice Telephone | 5153646198 |
| Mailing Telephone | 7122646198 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
123267 | IA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G159590 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 1ST AVE E STE 1 |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467918029 | Lachaya Mary Radcliff | Nurse Practitioner | 212 17th St, Spencer, NC 28159-1945 | 2019-02-19 |
| 1356300164 | Sharon B Eckhart | Nurse Practitioner | 2016 Hwy Blvd South, Suite, Spencer, IA 51301 | 2006-03-21 |
| 1710946975 | Dawn L Howley | Nurse Practitioner | 2016 Highway Blvd, Spencer, IA 51301-2112 | 2006-03-17 |
| 1346298221 | Nancy Lu Howe | Nurse Practitioner | 201 E 11th St, Spencer, IA 51301-4436 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| 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.