MRS. MARY SUSAN DIRKS (NPI# 1326021387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326021387 |
| Entity Type | Individual |
| Full Name | MRS. MARY SUSAN DIRKS |
| Credential | ARNP |
| Practice Address |
50 Newton Road College of Nursing- 101 Nursing Bldg Iowa City IA 52242-1121 |
| Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
| Practice Telephone | 3193359654 |
| Practice Fax Number | 3193357106 |
| Mailing Telephone | 5152373974 |
| Mailing Fax Number | 5158832692 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
082237 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 NEWTON ROAD COLLEGE OF NURSING- 101 NURSING BLDG |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225311012 | Krista Marie Ford | Nurse Practitioner | 50 Newton Road, 101 Cnb, Iowa City, IA 52242-5224 | 2011-09-28 |
| 1336330943 | State University of Iowa | Nurse Practitioner | 50 Newton Road, 101 Cnb, Iowa City, IA 52242-1121 | 2007-08-08 |
| 1710094354 | Carol Linda Caldwell | Registered Nurse | 50 Newton Road, 101 Nursing Building, Iowa City, IA 52242-1121 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
| 1013969435 | Vanessa Alexandra Kimm | Nurse Practitioner | 101 College of Nursing Bldg, Iowa City, IA 52242 | 2006-05-16 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1275055212 | Stephany Lynne Walk | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-07-12 |
| 1558883769 | Anne Kathryn Nielsen | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-07-10 |
| 1073033619 | Trang Linh Duong | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-06-25 |
| 1790143790 | Tracy Sheets | Nurse Practitioner | 200 Hawkins Dr, Department of Pediatrics, Neonatology, Iowa City, IA 52242-1009 | 2016-02-04 |
| 1134591829 | Heidi A Rossow | Nurse Practitioner | 200 Hawkins Dr, Dept of Pediatrics, Iowa City, IA 52242-1009 | 2015-10-21 |
| 1174862148 | Haley Dianne Stoll | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-02-11 |
| 1538408638 | Kyle J Ewald | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-02-08 |
| Find all providers in IOWA CITY | ||||
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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.