LISA K WOLTERMAN (NPI# 1528125556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528125556 |
| Entity Type | Individual |
| Full Name | LISA K WOLTERMAN |
| Other Name | LISA K BUGGE |
| Credential | CRNA |
| Practice Address |
1215 Pleasant Street Suite 400 Des Moines IA 50309-1418 |
| Practice Telephone | 5152415722 |
| Practice Fax Number | 5152414403 |
| Mailing Telephone | 5152415722 |
| Mailing Fax Number | 5152414403 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R143801-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0790683 | 05 |
| Street Address |
1215 PLEASANT STREET SUITE 400 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714646 | Rebecca S Jimenez | Nurse Anesthetist, Certified Registered | 1215 Pleasant Street, Suite 400, Des Moines, IA 50309-1418 | 2006-03-17 |
| 1881996767 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 1215 Pleasant Street, Suite 600, Des Moines, IA 50309-1409 | 2010-11-26 |
| 1033384086 | Kanwaljit K Chouhan | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2008-04-29 |
| 1043365026 | Jessica A Mathisen | Physician Assistant | 1215 Pleasant Street, Suite 100, Des Moines, IA 50390-1409 | 2007-01-23 |
| 1669427266 | Iowa Kidney Physicians, PC | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2006-05-23 |
| 1427012061 | Mark Miller Belz | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2006-04-12 |
| 1629031471 | Johann Peter Schmolck | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2006-04-11 |
| 1851354674 | Craig Alan Shadur | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2006-04-11 |
| 1740243591 | Michael T Flood | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2006-04-11 |
| 1376506121 | Sanjiv Kumar Dahal | Internal Medicine | 1215 Pleasant Street, Suite 100, Des Moines, IA 50309-1409 | 2006-04-11 |
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714646 | Rebecca S Jimenez | Nurse Anesthetist, Certified Registered | 1215 Pleasant Street, Suite 400, Des Moines, IA 50309-1418 | 2006-03-17 |
| 1336763499 | Jill Renae Keane | Nurse Anesthetist, Certified Registered | 700 E University Ave, Des Moines, IA 50316-2392 | 2020-06-04 |
| 1194292979 | Lindsey Kay Bruns | Nurse Anesthetist, Certified Registered | 411 Laurel St, Des Moines, IA 50314-3017 | 2018-10-30 |
| 1407341878 | Lauren Thompson | Nurse Anesthetist, Certified Registered | 411 Laurel St Ste 3170, Des Moines, IA 50314-3005 | 2018-06-27 |
| 1245737675 | Mark Christopher Boswell | Nurse Anesthetist, Certified Registered | 700 E University Ave, Des Moines, IA 50316-2302 | 2018-04-11 |
| 1437696705 | Maura Eileen Schaefer | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2017-01-25 |
| 1083091482 | Hallie Runyan | Nurse Anesthetist, Certified Registered | 411 Laurel St Ste 3170, Des Moines, IA 50314-3005 | 2015-05-05 |
| 1821475534 | Michelle Elizabeth Krupski | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2015-05-01 |
| 1033548375 | Nathan Michael Soriano | Nurse Anesthetist, Certified Registered | 1111 6th Ave, Des Moines, IA 50314-2613 | 2013-11-07 |
| 1609135391 | Erica A Kitt | Nurse Anesthetist, Certified Registered | 411 Laurel St, Mercy Medical Plaza, Suite 3170, Des Moines, IA 50314 | 2012-05-15 |
| 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.