NICOLE B. GROTH (NPI# 1457695595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457695595 |
| Entity Type | Individual |
| Full Name | NICOLE B. GROTH |
| Credential | A.R.N.P. |
| Practice Address |
1221 Pleasant St Suite 200 Des Moines IA 50309-1423 |
| Mailing Address |
13435 University Ave Ste 500 Clive IA 50325-8251 |
| Practice Telephone | 5152418221 |
| Practice Fax Number | 5152414001 |
| Mailing Telephone | 5152251845 |
| Mailing Fax Number | 5152251898 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A-119130 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | P01141261 | 01 |
| IA | 1457695595 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720525074 | Nicole Groth | Physical Therapy Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2017-01-25 |
| Street Address |
1221 PLEASANT ST SUITE 200 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570360 | Guy R Delarosa | Internal Medicine | 1221 Pleasant St, Suite 300, Des Moines, IA 50309-1423 | 2005-07-07 |
| 1649654054 | Julie Schommer | Internal Medicine | 1221 Pleasant St, Suite 200, Des Moines, ID 50266 | 2015-07-15 |
| 1336554286 | Melissa Ann Lipovac | Registered Nurse | 1221 Pleasant St, Suite 410, Des Moines, IA 50309-1423 | 2014-06-29 |
| 1881008704 | Charity Carstensen | Nurse Practitioner | 1221 Pleasant St, Suite 200, Des Moines, IA 50309-1423 | 2014-06-18 |
| 1548502453 | Carissa Lyn Thompson | Nurse Practitioner | 1221 Pleasant St, Suite 100, Des Moines, IA 50309 | 2013-03-19 |
| 1295089944 | Anne Heun Frankl | Genetic Counselor, MS | 1221 Pleasant St, Suite 410, Des Moines, IA 50309 | 2012-11-02 |
| 1336413780 | Colette Jane Henningsen | Nurse Practitioner | 1221 Pleasant St, Suite 200, Des Moines, IA 50309-1423 | 2012-03-02 |
| 1326344789 | Kristel L Howell | Nurse Practitioner | 1221 Pleasant St, Suite 100, Des Moines, IA 50309 | 2011-02-02 |
| 1093027120 | Andrew J Stefani | Internal Medicine | 1221 Pleasant St, Ste 200, Des Moines, IA 50309-1423 | 2010-07-06 |
| 1043521560 | Jana L Kray | Physical Therapist | 1221 Pleasant St, Suite 200, Des Moines, IA 50309-1423 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| 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 |
|---|---|---|---|---|
| 1629681523 | Sound Healthworks LLC | Nurse Practitioner | 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 | 2020-08-28 |
| 1902381544 | Brooke Elizabeth Dannen | Nurse Practitioner | 411 Laurel St Ste A300, Des Moines, IA 50314-3030 | 2018-09-29 |
| 1992103709 | Suellen Marsh | Nurse Practitioner | 1111 6th Ave Ste W306, Des Moines, IA 50314-2610 | 2014-12-10 |
| 1063740553 | Megan Kathleen Oconner | Nurse Practitioner | 1540 High Street, Suite 101, Des Moines, IA 50309-3108 | 2009-11-23 |
| 1588712079 | Melanie Porter | Nurse Practitioner | 979 Oakridge Dr, Des Moines, IA 50314-2102 | 2007-01-08 |
| 1790858330 | Linda Mosier | Nurse Practitioner | 1808 42nd St, Des Moines, IA 50310-3315 | 2006-11-15 |
| 1205943842 | Jacqueline Yvon Perkins | Nurse Practitioner | 603 E 12th St, 5th Floor, Des Moines, IA 50309-5515 | 2006-08-23 |
| 1972564938 | Shari J Stone | Nurse Practitioner | 1530 E Euclid Ave Ste 100, Des Moines, IA 50313-4726 | 2006-03-30 |
| 1508837667 | Janae Dawn Brown | Nurse Practitioner | 2103 Ingersoll Ave, Des Moines, IA 50312 | 2006-01-27 |
| 1578548293 | Lizabeth Marie Price | Nurse Practitioner | 6200 Aurora Ave, Des Moines, IA 50322-2800 | 2005-12-15 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.