MEREDITH LEE HODGSON (NPI# 1619228392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619228392 |
| Entity Type | Individual |
| Full Name | MEREDITH LEE HODGSON |
| Other Name | MEREDITH LEE BURRILL |
| Credential | ARNP |
| Practice Address |
1236 E Rusholme St Suite 300 Davenport IA 52803-2434 |
| Practice Telephone | 5633242992 |
| Practice Fax Number | 5633248562 |
| Mailing Telephone | 5633242992 |
| Mailing Fax Number | 5633248562 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
L109406 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1236 E RUSHOLME ST SUITE 300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986837 | Prakash R Bontu | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1942606413 | Ellen Terese Holm | Nurse Practitioner | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2014-11-11 |
| 1720382542 | Julie Ann Shereda | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2011-01-08 |
| 1760792683 | Cynthia D Burkholder | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2010-10-13 |
| 1497080709 | Srikanth Reddy Kasula | Internal Medicine | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2009-10-05 |
| 1184957839 | Shannon M Mentzer | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2009-09-14 |
| 1538353784 | Paula Jean Bryant | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2007-08-30 |
| 1689724700 | Denise Elaine Antle | Clinical Nurse Specialist | 1236 E Rusholme St, Davenport, IA 52803-2473 | 2007-01-11 |
| 1871687087 | Michael Joseph Gimbel IIi | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2006-10-03 |
| 1104936087 | Shawna Kaye Duske | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992259642 | Heather M Hitesman | Nurse Practitioner | 1351 W. Central Park, Suite 3300, Davenport, IA 52804-1889 | 2016-08-11 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| 1982128435 | Lori Shannon Schwarm | Nurse Practitioner | 3385 Dexter Ct Ste 100, Davenport, IA 52807-3471 | 2017-07-26 |
| 1265980668 | Valerie Wold | Nurse Practitioner | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2016-09-14 |
| 1649527045 | Emily Cathryn Maiers | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2012-08-06 |
| 1700166139 | Alyssa N Wislander | Nurse Practitioner | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2011-08-17 |
| 1720382542 | Julie Ann Shereda | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2011-01-08 |
| 1760792683 | Cynthia D Burkholder | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2010-10-13 |
| 1043523491 | Julia A Hull | Nurse Practitioner | 1351 W Central Park Ave, Suite 360, Davenport, IA 52804-1853 | 2010-07-14 |
| 1154643260 | France B Many | Nurse Practitioner | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2010-02-17 |
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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.