CASEY J IVERSON (NPI# 1457443699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457443699 |
| Entity Type | Individual |
| Full Name | CASEY J IVERSON |
| Credential | D.C. |
| Practice Address |
1804 West Forrest Street Grand Island NE 68802-2110 |
| Mailing Address |
Po Box 2371 1804 West Forrest Street Grand Island NE 68802-2371 |
| Practice Telephone | 3083823666 |
| Practice Fax Number | 3083823644 |
| Mailing Telephone | 3083823666 |
| Mailing Fax Number | 3083823644 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 786 | NE | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 09538 | 01 |
| NE | MIDLANDS CHOICE | 22491 | 01 |
| NE | 47-068753000 | 05 | |
| NE | 47068753000 | 05 |
| Street Address |
1804 WEST FORREST STREET |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68802-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026312 | Abbie Kelley | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-13 |
| 1831205152 | Orthopaedic Surgicenter Inc | Clinic/Center | 810 Diers Avenue, Suite A, Grand Island, NE 68802 | 2006-08-21 |
| 1336187905 | Elizabeth Ann Heidt Kozisek | Psychologist | 1932 Aspen Circle, Suite J, Grand Island, NE 68802 | 2006-06-03 |
| 1932191301 | Jennifer Mcclure | Physical Therapist | West Faidley Medical Center, 620 N. Diers, Suite 300, Grand Island, NE 68802 | 2005-08-22 |
| 1396226668 | Dawn Lutz | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-08-24 |
| 1104307461 | Kim Woitaszewski | Registered Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-08-24 |
| 1154816049 | Jennifer Nowicki | Registered Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-25 |
| 1033603386 | Monti Starkey | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-20 |
| 1649764226 | Kellie Brittain | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-18 |
| 1518450469 | Delynn Karr | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-14 |
| Find all providers in zip 68802 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427055 | Andrew Jacob Gerald Marie Miller | Chiropractor | 2441 N Diers Ave, Grand Island, NE 68803-1240 | 2020-08-13 |
| 1740847540 | Joshua Timothy Aitken | Chiropractor | 3415 State St Ste C2, Grand Island, NE 68803-2467 | 2019-05-28 |
| 1457832743 | Kendrea Howell | Chiropractor | 1719 Aspen Cir Ste 14, Grand Island, NE 68803-2401 | 2018-08-24 |
| 1033611587 | Austan Reid Pomajzl | Chiropractor | 3008 W Stolley Park Rd Suite 3, Grand Island, NE 68801 | 2018-03-01 |
| 1316499346 | Inspire Chiropractic, LLC | Chiropractor | 1804 Forrest St Ste 2, Ste 2, Grand Island, NE 68803-2110 | 2016-10-25 |
| 1144643875 | Cody Jon Benson | Chiropractor | 3335 W Wood River Rd, Suite B, Grand Island, NE 68803-9117 | 2014-01-31 |
| 1164716890 | Laura Lynn Sweley-buettner | Chiropractor | 1804 Forrest St, Suite 2, Grand Island, NE 68803-2110 | 2011-05-28 |
| 1215236732 | Richard Michael Soukup | Chiropractor | 1430 Red Jacket Rd, Grand Island, NY 14072-2327 | 2011-03-23 |
| 1154645620 | Stephanie Hope Holden | Chiropractor | 705 N Webb Rd, Grand Island, NE 68803-3311 | 2010-03-26 |
| 1649509407 | Cobler Chiropractic Plc | Chiropractor | 3404 W 13th St Ste 115, Grand Island, NE 68803-2309 | 2009-12-08 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68802 |
Please comment or provide details below to improve the information on CASEY J IVERSON.
| 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.