STEPHANIE ELLSWORTH (NPI# 1376993709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376993709 |
| Entity Type | Individual |
| Full Name | STEPHANIE ELLSWORTH |
| Credential | ARNP |
| Practice Address |
3426 N Port Dr Ste 100 Muscatine IA 52761-2242 |
| Mailing Address |
200 Hawkins Drive Department of Internal Medicine Iowa City IA 52242-1009 |
| Practice Telephone | 5632624101 |
| Mailing Telephone | 3193561616 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A132211 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A132211 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689164360 | Stephanie Ellsworth | Registered Nurse | 1 Sir Bills Cir, Johnstown, NY 12095-2035 | 2018-05-17 |
| Street Address |
3426 N PORT DR STE 100 |
| City | MUSCATINE |
| State | IA |
| Zip Code | 52761-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720375199 | Sandhya Nallu | Family Medicine | 3426 N Port Dr Ste 100, Muscatine, IA 52761-2241 | 2011-07-06 |
| 1902443898 | Chelsi Steele | Physician Assistant | 3426 N Port Dr Ste 100, Muscatine, IA 52761-2242 | 2019-12-10 |
| 1528558699 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 100, Muscatine, IA 52761 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282327 | Jaime S Jose Jr. | Physical Therapist | Lutheran Living Senior Campus, 2421 Lutheran Drive, Muscatine, IA 52761 | 2020-10-15 |
| 1871063446 | Stephanie Marie Fiser | Counselor | 503 Iowa Ave, Muscatine, IA 52761 | 2018-11-27 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1538614086 | Sejal Savani | Dentist | 3020 N Highway 61, Muscatine, IA 52761 | 2016-08-24 |
| 1932468006 | Jason R Carstens | Chiropractor | 3800 Grandview Avenue, Muscatine, IA 52761 | 2012-05-10 |
| 1699062166 | Joyce Esther Hart-leon | Marriage & Family Therapist | 2821 Hwy 22 East., Muscatine, IA 52761 | 2011-07-06 |
| 1750533667 | Sunnybrook of Muscatine | Assisted Living Facility | 3515 Dianna Queen Drive, Muscatine, IA 52761 | 2008-10-22 |
| 1346415403 | Marcie L. Nithang | Counselor | 315 Iowa Ave., Ste. C, Muscatine, IA 52761 | 2008-04-29 |
| 1023238474 | Barbara Joan Gipple | Dentist | 2195 North Hill Road, Muscatine, IA 52761 | 2007-04-26 |
| 1154484954 | Holly Ann Krystek | Dentist | 2920 Cedar St, Muscatine, IA 52761 | 2006-12-19 |
| Find all providers in zip 52761 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| 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 |
| 1356865042 | Peggy Sue Deboer | Nurse Practitioner | 1200 Tri View Ave, Sioux City, IA 51103-4900 | 2017-08-03 |
| 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 |
| 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.