DR. HEATHER MARCELLE RICKERTSEN (NPI# 1598837494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598837494 |
| Entity Type | Individual |
| Full Name | DR. HEATHER MARCELLE RICKERTSEN |
| Credential | PHARM D RPH |
| Practice Address |
1690 Elm St Ste 300 Dubuque IA 52001-3679 |
| Mailing Address |
1789 Elm St Dubuque IA 52001-2256 |
| Practice Telephone | 5636902850 |
| Practice Fax Number | 5635578488 |
| Mailing Telephone | 5636902850 |
| Mailing Fax Number | 5635578488 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
20196 | IA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1014813 | 05 |
| Street Address |
1690 ELM ST STE 300 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544681 | Rachael A. Ploessl | Nurse Practitioner | 1690 Elm St Ste 300, Dubuque, IA 52001-3679 | 2020-07-01 |
| 1396181012 | Heather Lynn Kruse | Family Medicine | 1690 Elm St Ste 300, Dubuque, IA 52001-3686 | 2013-05-21 |
| 1720146319 | Crescent Community Health Center | Family Medicine | 1690 Elm St Ste 300, Dubuque, IA 52001-3679 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988109 | Erin Jensen | Pharmacist | 801 55th St, West Des Moines, IA 50266-6326 | 2019-11-27 |
| 1134548282 | Laurie Beth Allbaugh | Pharmacist | 227 Southbrooke Dr Apt 4, Waterloo, IA 50702-5826 | 2014-04-15 |
| 1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
| 1679702344 | Meaghan Rogers | Pharmacist | 115 South Grand Avenue, S558, Iowa City, IA 52242-1112 | 2009-07-02 |
| 1003422429 | Kara Renee Eid | Pharmacist | 2639 Avenue L, Fort Madison, IA 52627-3840 | 2020-09-21 |
| 1366056160 | Brian Thoreson | Pharmacist | 3036 1st Ave S, Fort Dodge, IA 50501-2925 | 2020-08-31 |
| 1992313175 | Zachary Less | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-14 |
| 1184241473 | Stacy Croy | Pharmacist | 200 Hawkins Dr, Cc 101 Gh, Iowa City, IA 52242 | 2020-07-02 |
| 1225655509 | Jacqueline Cicchese | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-02 |
| 1467072629 | Jade Feller | Pharmacist | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. HEATHER MARCELLE RICKERTSEN.
| 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.