MS. BETH A SADEWASSER (NPI# 1356330161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356330161 |
| Entity Type | Individual |
| Full Name | MS. BETH A SADEWASSER |
| Credential | ARNP |
| Practice Address |
40 1st St Se Waukon IA 52172-2022 |
| Mailing Address |
Po Box 370 Guttenberg IA 52052-0370 |
| Practice Telephone | 5635683411 |
| Practice Fax Number | 5635686139 |
| Mailing Telephone | 5632522141 |
| Mailing Fax Number | 5632529013 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A087627 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
087627 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1356330161 | 05 | |
| IA | DEA | 5200697 | 01 |
| FED DEA | MS0556499 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2nd and Main St, Guttenberg, IA 52052 | 5632522141 | 5632529013 |
| Street Address |
40 1ST ST SE |
| City | WAUKON |
| State | IA |
| Zip Code | 52172-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083363 | Jonathan L Hawes | Physician Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2005-06-20 |
| 1609489244 | Austin Troendle | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2020-08-24 |
| 1407401722 | Shelly Valley | Physical Therapy Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2019-08-04 |
| 1366920803 | Rebecca Booth | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2018-08-06 |
| 1104352327 | Veterans Memorial Hospital | Clinic/Center | 40 1st St Se, Waukon, IA 52172-2022 | 2017-05-08 |
| 1275902322 | Veterans Memorial Hospital-community and Home Care | Nursing Care | 40 1st St Se, Waukon, IA 52172-2022 | 2015-09-18 |
| 1255763892 | Steven Breitenfield | Speech-Language Pathologist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-06 |
| 1710319710 | Dana Wells | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-01 |
| 1134568561 | Tarynne Carlson | Occupational Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-06-19 |
| 1356786081 | Veterans Memorial Hospital-public Health | Public Health or Welfare | 40 1st St Se, Waukon, IA 52172-2022 | 2013-05-08 |
| Find all providers in the same location | ||||
| 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 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| Find all providers in zip 52172 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
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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.