PEGGY SUE DEBOER (NPI# 1356865042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356865042 |
Entity Type | Individual |
Full Name | PEGGY SUE DEBOER |
Credential | AGNP |
Practice Address |
1200 Tri View Ave Sioux City IA 51103-4900 |
Mailing Address |
2406 W Solway St Sioux City IA 51104-4014 |
Practice Telephone | 7122247722 |
Mailing Telephone | 7079516697 |
Enumeration Date | 2017-08-03 |
Last Update Date | 2017-08-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H061619 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1200 TRI VIEW AVE |
City | SIOUX CITY |
State | IA |
Zip Code | 51103-4900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720569007 | Heidi Braunschweig | Nurse Practitioner | 1200 Tri View Ave, Sioux City, IA 51103-4900 | 2018-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770966491 | Jackson Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 3500 West 4th Street, Sioux City, IA 51103 | 2015-06-30 |
1740685361 | Juliet Emerald Brinkman | Registered Nurse | Unity Point, Siouxland Pace- 1200 Tri View Ave, Sioux City, IA 51103 | 2014-10-24 |
1295197374 | Jamaine Wamberg | Counselor | 3320 W 4th St, Sioux City, IA 51103 | 2016-03-28 |
1477789311 | Amy Christine Bloch | Social Worker | 1601 Military Road, Sioux City, IA 51103 | 2009-06-05 |
1891755906 | Julie A. Elbert | Social Worker | 1601 Military Road, Sioux City, IA 51103 | 2006-03-23 |
1497720544 | Rhonda Jane Brown | Counselor | 1601 Military Road, Sioux City, IA 51103 | 2006-02-22 |
1235332123 | Lunchtime Solutions, Inc. | Home Delivered Meals | 3100 West Fourth Street, Sioux City, IA 51103-0100 | 2007-06-07 |
1871938738 | Lisa Marie Theisen | Specialist | 3090 Rebecca St, Sioux City, IA 51103-1458 | 2013-05-06 |
1013146315 | Lee and Associates Consultants LLC | Social Worker | 1608 Casselman, Sioux City, IA 51103-1628 | 2009-07-08 |
1508855271 | Holy Spirit Retirement Home Inc | Skilled Nursing Facility | 1701 W 25th St, Sioux City, IA 51103-1705 | 2005-10-17 |
Find all providers in zip 51103 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831152925 | Shari L Black | Nurse Practitioner | 230 Nebraska St, Sioux City, IA 51101-1733 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003414004 | Daniel Timothy Holthaus | Nurse Practitioner | 1403 Mckinley Pl, Iowa City, IA 52246-4142 | 2020-10-12 |
1942814462 | Caroline E Marcotte | Nurse Practitioner | 5 Mark Twain Ct, North Liberty, IA 52317-9675 | 2020-09-02 |
1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
1053942789 | Marcia Hester | Nurse Practitioner | 969 E St, Conroy, IA 52220-7701 | 2020-01-31 |
1265910939 | Barbara Ann Peterson | Nurse Practitioner | 613 E Bloomington St Ste 100, Iowa City, IA 52245-2601 | 2018-08-03 |
1700398377 | Eve Sheehan | Nurse Practitioner | 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 | 2017-11-03 |
1962855148 | Marsan Klein | Nurse Practitioner | 2930 E Euclid Ave, Des Moines, IA 50317-3840 | 2016-07-22 |
1366815391 | Chelsey Zitelman | Nurse Practitioner | 110 King St, Fayette, IA 52142-9735 | 2015-11-13 |
1942686811 | Cindy Ann Grow | Nurse Practitioner | 45 W Jefferson St Apt 318, Waterloo, IA 50701-1331 | 2015-08-03 |
1447680848 | Mindy Jo Roberts | Nurse Practitioner | 2600 Dodge St Ste D4, Dubuque, IA 52003-7161 | 2013-11-21 |
Find all providers with the same taxonomy |
City | SIOUX CITY |
Zip Code | 51103 |
Please comment or provide details below to improve the information on PEGGY SUE DEBOER.
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.