DR. KELLY M BARTLETT (NPI# 1467734897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467734897 |
| Entity Type | Individual |
| Full Name | DR. KELLY M BARTLETT |
| Credential | PHARMD |
| Practice Address |
102 2nd St Coralville IA 52241-2606 |
| Practice Telephone | 3193416153 |
| Mailing Telephone | 3193416153 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS34971 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 20059 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912482506 | Kelly L Bartlett | Community/Behavioral Health | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2018-09-28 |
| Street Address |
102 2ND ST |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535370 | Stephen M Smith | Pharmacist | 102 2nd St, Coralville, IA 52241-2606 | 2019-12-16 |
| 1427608389 | Corey Osborn | Pharmacist | 102 2nd St, Coralville, IA 52241-2606 | 2019-09-12 |
| 1972160901 | Jody Siegrist | Pharmacist | 102 2nd St, Coralville, IA 52241-2606 | 2019-05-24 |
| 1558648220 | Barbara Lee Fjordbak | Pharmacist | 102 2nd St, Coralville, IA 52241-2606 | 2011-11-09 |
| 1578845673 | Elizabeth Bretthauer Soenen | Pharmacist | 102 2nd St, Coralville, IA 52241-2606 | 2011-09-14 |
| 1619259850 | Dennis M Wieland | Pharmacist | 102 2nd St, Coralville, IA 52241-2606 | 2011-09-14 |
| 1417962739 | Walgreen Co | Pharmacy | 102 2nd St, Coralville, IA 52241-2606 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457496 | Lane Nelson | Pharmacist | 105 E 9th St Ste 1400, Coralville, IA 52241-2209 | 2020-04-29 |
| 1659932754 | James R Kay | Pharmacist | 3285 Crosspark Rd, Coralville, IA 52241-3206 | 2019-06-28 |
| 1003154741 | Pamela F Wiltfang | Pharmacist | 1900 James St Ste 10, Coralville, IA 52241-1895 | 2013-01-30 |
| 1609182237 | Brandon James Patterson | Pharmacist | 30 Redtail Bnd Apt 5, Coralville, IA 52241-4023 | 2010-08-20 |
| 1487985321 | Shane Thomas Sedenka | Pharmacist | 105 E 9th St Ste A, Coralville, IA 52241-2209 | 2010-01-15 |
| 1609050244 | Levi S Vankirk | Pharmacist | 2407 North Ridge Dr, Coralville, IA 52241 | 2007-12-18 |
| 1669652541 | Nicholas Mark Howell | Pharmacist | 1914 8th St, Coralville, IA 52241-1612 | 2007-11-08 |
| 1114137783 | Jennica Yatskis | Pharmacist | 4105 Westcor Ct, Ste. #1, Coralville, IA 52241 | 2007-05-23 |
| 1316157985 | Kirk D Crabtree | Pharmacist | 4105 Westcor Ct, Suite 1, Coralville, IA 52241 | 2007-05-23 |
| 1083747125 | Cynthia Ellen Butters | Pharmacist | 1150 5th St Ste 140, Coralville, IA 52241-2929 | 2007-03-14 |
| Find all providers in CORALVILLE | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
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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.