KATHRYN ANN HEETLAND


Address: 200 E Ridgeway Ave, Waterloo, IA 50702-5060
Phone: 3192722800

KATHRYN ANN HEETLAND (NPI# 1578905832) 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) 1578905832
Entity Type Individual
Full Name KATHRYN ANN HEETLAND
Credential ARNP
Practice Address 200 E Ridgeway Ave
Waterloo
IA 50702-5060
Practice Telephone 3192722800
Practice Fax Number 3192722807
Mailing Telephone 3192722800
Mailing Fax Number 3192722807
Enumeration Date 2013-07-26
Last Update Date 2013-07-26
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
H120703 IA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
J120703 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 E RIDGEWAY AVE
City WATERLOO
State IA
Zip Code 50702-5060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285604470 Cassandra S Foens Radiology 200 E Ridgeway Ave, Waterloo, IA 50702-5060 2006-01-23
1851702831 Awad Ahmed Radiology 200 E Ridgeway Ave, Waterloo, IA 50702-5060 2014-05-13
1336436674 Erin Alexandra Flores Nurse Practitioner 200 E Ridgeway Ave, Waterloo, IA 50702-5060 2011-07-07
1659670941 Kimberly A. Maxfield Registered Nurse 200 E Ridgeway Ave, Suite 400, Waterloo, IA 50702-5060 2011-03-25
1669409439 Mohammed T Masri Internal Medicine 200 E Ridgeway Ave, Suite 400, Waterloo, IA 50702-5060 2006-06-27
1962444349 Mukund G Nadipuram Internal Medicine 200 E Ridgeway Ave, Suite 400, Waterloo, IA 50702-5060 2006-06-12
1912965872 Clinical Radiologists, PC Radiology 200 E Ridgeway Ave, Waterloo, IA 50702-5060 2006-05-02
1083684757 Vandana Jain Radiology 200 E Ridgeway Ave, Waterloo, IA 50702-5060 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684709 Peoples Community Health Clinic, Inc Clinic/Center 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 2020-09-23
1346867439 Kinza Ali Family Medicine 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 2020-07-06
1073176533 Sandeep Badyal Family Medicine Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 2019-04-19
1619530763 Sophia Tariq Qureshi Family Medicine Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 2019-04-15
1659869915 Alicia M Johnson Advanced Practice Midwife 439 King Street, Waterloo, IA 50702 2018-04-23
1427591411 Alexandra E. Becker Specialist/Technologist 4157 Mourning Dove Drive, Waterloo, IA 50702 2016-11-23
1255793196 Eastern Iowa Therapeutics PC Physical Therapist 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 2016-03-21
1972859288 Noble Cedar Psychological Institute Psychologist 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 2012-07-24
1417223363 Rita Marie Menart Counselor 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 2012-03-26
1336411685 Jagpal Singh Suman Hospitalist 3421 West 9th Street, Waterloo, IA 50702 2012-02-02
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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
1942686811 Cindy Ann Grow Nurse Practitioner 45 W Jefferson St Apt 318, Waterloo, IA 50701-1331 2015-08-03
1073823639 Alison S Mcfadden Nurse Practitioner 3254 Kimball Ave, Waterloo, IA 50702-5739 2010-10-18
1972822393 Maria Lynn Metcalf Nurse Practitioner 152 W Dale St, Waterloo, IA 50703-1925 2010-05-25
1609103167 Melanie Rose Schwartz Nurse Practitioner 3421 W 9th St, Waterloo, IA 50702-5401 2009-11-04
1336230499 Tracy M Hasler Nurse Practitioner 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 2006-09-27
1013023308 Janet L Owen Nurse Practitioner 367 E Main St, Waterloo, NY 13165-1643 2006-08-21
1235150046 Julee R Radtke Nurse Practitioner 111 Anna St, Waterloo, WI 53594-1184 2006-07-21
1902859804 Allyson Rae Landphair Nurse Practitioner 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003414004 Daniel Timothy Holthaus Nurse Practitioner 1403 Mckinley Pl, Iowa City, IA 52246-4142 2020-10-12
1942814462 Caroline E Marcotte Nurse Practitioner 5 Mark Twain Ct, North Liberty, IA 52317-9675 2020-09-02
1558995589 Jennifer Christine Hohneke Nurse Practitioner St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 2020-02-28
1053942789 Marcia Hester Nurse Practitioner 969 E St, Conroy, IA 52220-7701 2020-01-31
1265910939 Barbara Ann Peterson Nurse Practitioner 613 E Bloomington St Ste 100, Iowa City, IA 52245-2601 2018-08-03
1700398377 Eve Sheehan Nurse Practitioner 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 2017-11-03
1356865042 Peggy Sue Deboer Nurse Practitioner 1200 Tri View Ave, Sioux City, IA 51103-4900 2017-08-03
1962855148 Marsan Klein Nurse Practitioner 2930 E Euclid Ave, Des Moines, IA 50317-3840 2016-07-22
1366815391 Chelsey Zitelman Nurse Practitioner 110 King St, Fayette, IA 52142-9735 2015-11-13
1447680848 Mindy Jo Roberts Nurse Practitioner 2600 Dodge St Ste D4, Dubuque, IA 52003-7161 2013-11-21
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Competitor

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City WATERLOO
Zip Code 50702

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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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