SUE ANN MCKERNAN


Address: 1801 Hickman Rd, Des Moines, IA 50314-1548
Phone: 5152822200

SUE ANN MCKERNAN (NPI# 1437766995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437766995
Entity Type Individual
Full Name SUE ANN MCKERNAN
Practice Address 1801 Hickman Rd
Des Moines
IA 50314-1548
Mailing Address 11553 Nw 115th Ave
Granger
IA 50109-9705
Practice Telephone 5152822200
Mailing Telephone 5154732574
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
H160360 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1801 HICKMAN RD
City DES MOINES
State IA
Zip Code 50314-1548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235136581 Dapka Nicholas Baccam Surgery 1801 Hickman Rd, Des Moines, IA 50314-1505 2005-07-01
1154920221 Valerie Meyer Pharmacist 1801 Hickman Rd, Des Moines, IA 50314-1548 2020-10-20
1811500747 Nadia Hashemi-toroghi Nurse Practitioner 1801 Hickman Rd, Des Moines, IA 50314-1548 2020-08-29
1265043087 Andrew Stessman Pharmacist 1801 Hickman Rd, Des Moines, IA 50314-1597 2020-08-14
1801405832 Sarah Hiemer Nurse Practitioner 1801 Hickman Rd, Des Moines, IA 50314-1548 2020-07-27
1306461496 Paul Schroeder Psychiatry & Neurology 1801 Hickman Rd, Des Moines, IA 50314-1597 2020-06-15
1548885791 Walter Mogeni Psychiatry & Neurology 1801 Hickman Rd, Des Moines, IA 50314-1597 2020-06-13
1811512064 Adrianna Denise Mitchell Psychiatry & Neurology 1801 Hickman Rd, Des Moines, IA 50314-1597 2020-06-13
1639794803 Thomas David Biederman Family Medicine 1801 Hickman Rd, Des Moines, IA 50314-1548 2020-06-12
1174148548 Aaron Patrick Cronican Radiology 1801 Hickman Rd, Des Moines, IA 50314-1597 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982266979 Dental Connections, Inc. Dentist 1111 9th Street, Suite 190, Des Moines, IA 50314 2019-07-01
1760910723 Kelsey Taylor Social Worker 1761 Hickman Rd, Des Moines, IA 50314 2017-06-02
1184085672 Allison J Robbins Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2016-03-11
1083081715 Taylor Witzel Specialist/Technologist 450 Laurel Street, Des Moines, IA 50314 2015-08-28
1376893933 Caring Hearts LLC In Home Supportive Care 1620 Pleasant, #245, Des Moines, IA 50314 2012-09-11
1104117522 Akinbode Solomon Egbelakin Pediatrics 1111 6th Ave # Main3, Des Moines, IA 50314 2011-04-20
1447488325 Abdelaziz Elhaddad Internal Medicine 95 University Avenue, Suite 1, Des Moines, IA 50314 2009-06-30
1356584080 Tara Michelle Graff Internal Medicine 411 Laurel Street Suite A300, Des Moines, IA 50314 2009-04-10
1700068517 Planned Parenthood of The Heartland Family Medicine 123 Clark Street, Des Moines, IA 50314 2007-12-04
1790903235 Christy J. Meyer Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2007-04-22
Find all providers in zip 50314

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1750698833 Catherine Patrice Smith Nurse Practitioner 1215 Pleasant St Ste 308, Des Moines, IA 50309-1409 2010-09-09
1811145691 Katharine M. Turpin Nurse Practitioner 6500 University Ave Ste 100, Des Moines, IA 50324-1607 2008-09-04
1609357813 Tracy Le Nurse Practitioner 2800 S 224th St, Des Moines, WA 98198-5132 2018-08-25
1841783123 Jennifer Leigh Greimann Nurse Practitioner 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 2018-06-11
1770007155 Ruth Nguyen Nurse Practitioner 3200 Grand Ave Fl 6, Des Moines, IA 50312-4104 2017-07-27
1760938591 Sandra Hall Nurse Practitioner 411 Laurel Street, Suite A250, Des Moines, IA 50314-3029 2016-08-31
1740652577 Kristi Lynn Vanleeuwen Nurse Practitioner 1221 Pleasant Street, Suite 100, Des Moines, IA 50309 2015-10-20
1013311778 Melissa Batt Nurse Practitioner 411 Laurel St Ste 3262, Des Moines, IA 50314-3027 2014-10-09
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50314

Improve Information

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Dataset Information

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.

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