MS. KELLY RENEE SAMBERG (NPI# 1376635482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376635482 |
| Entity Type | Individual |
| Full Name | MS. KELLY RENEE SAMBERG |
| Credential | ARNP |
| Practice Address |
1223 S Gear Ave Ste 304 West Burlington IA 52655-1682 |
| Mailing Address |
1223 S Gear Ave Suite 304 West Burlington IA 52655-1682 |
| Practice Telephone | 3197683200 |
| Practice Fax Number | 3197683234 |
| Mailing Telephone | 3197683200 |
| Mailing Fax Number | 3197683234 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F063968 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1223 S GEAR AVE STE 304 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095027 | Daniel J. Peasley | Internal Medicine | 1223 S Gear Ave, #205, West Burlington, IA 52655-1682 | 2005-07-01 |
| 1689115727 | Meredith Alicia Lee | Nurse Practitioner | 1223 S Gear Ave, #304, West Burlington, IA 52655-1682 | 2017-03-08 |
| 1346795226 | Dawn Marie Rohrer | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2016-08-19 |
| 1083168967 | Brandy Parker | Nurse Practitioner | 1223 S Gear Ave, Eastman Plaza, Suite 304, West Burlington, IA 52655-1682 | 2016-08-09 |
| 1902270317 | Laura Lee Martin | Nurse Practitioner | 1223 S Gear Ave, Suite 208, Eastman Plaza, West Burlington, IA 52655-1682 | 2015-11-23 |
| 1457618100 | River Cities Ophthalmology, P.C. | Ophthalmology | 1223 S Gear Ave, 307 Eastman Plaza, West Burlington, IA 52655-1682 | 2012-04-19 |
| 1760790851 | Jane Ann Schuler | Nurse Practitioner | 1223 S Gear Ave, West Burlington, IA 52655-1682 | 2010-09-22 |
| 1275861080 | Norah Khangura | Ophthalmology | 1223 S Gear Ave, Eastman, Suite 309, West Burlington, IA 52655-1682 | 2009-12-07 |
| 1134387012 | Erin Margaret Haeger | Obstetrics & Gynecology | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-28 |
| 1598932204 | Elisabeth A Long | Nurse Practitioner | 1223 S Gear Ave, Ste 208, West Burlington, IA 52655-1682 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905705 | Stephanie Monique Hansen | Nurse Practitioner | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2019-07-25 |
| 1487137428 | Urime Mehmedi | Nurse Practitioner | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2018-09-14 |
| 1518444512 | Jodi Jane Smith | Nurse Practitioner | 1223 S Gear Ave Ste 108, West Burlington, IA 52655-1685 | 2018-07-23 |
| 1750867248 | Mikhail Shkiryak | Nurse Practitioner | 1225 S Gear Ave Ste 153, West Burlington, IA 52655-1686 | 2018-07-17 |
| 1447769880 | Jacinta Wangui | Nurse Practitioner | 1706 W Agency Rd, West Burlington, IA 52655-1667 | 2017-09-28 |
| 1063450880 | Linda C Mccabe | Nurse Practitioner | 1223 S Gear Ave, Suite 108, West Burlington, IA 52655-1682 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508722 | Tlc Healthcare LLC | Nurse Practitioner | 202 N Main St Ste A, Monticello, IA 52310-1746 | 2020-11-06 |
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1427662832 | Schreiber Health Services Pllc | Nurse Practitioner | 8450 Hickman Rd Ste 16, Clive, IA 50325-4307 | 2020-09-02 |
| 1720606841 | Kristen Roberts | Nurse Practitioner | 108 Monroe St, Grand River, IA 50108-7510 | 2020-07-07 |
| 1437776747 | Michelle Gillitzer | Nurse Practitioner | 2450 Coral Ct, Coralville, IA 52241-2975 | 2020-07-02 |
| 1487271904 | Lynette Prickett | Nurse Practitioner | 15346 Dodgeville Rd, Sperry, IA 52650-9623 | 2020-06-30 |
| 1891311650 | Tiffany Amber Zieser | Nurse Practitioner | 1383 Fontana Blvd, Hazleton, IA 50641-5064 | 2020-06-17 |
| 1790300648 | Kdp Management Services LLC | Nurse Practitioner | 7109 Holcomb Ave, Urbandale, IA 50322-4740 | 2020-06-16 |
| 1982228920 | Samantha Quelland | Nurse Practitioner | 4090 Westown Pkwy # 106, West Des Moines, IA 50266-6760 | 2020-06-05 |
| 1841823622 | Melissa Lynn Coulter | Nurse Practitioner | 202 10th St Se Ste 165, Cedar Rapids, IA 52403-2433 | 2020-02-19 |
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| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.