ELIZABETH VICTORIA CHAMBERLIN (NPI# 1619345543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619345543 |
| Entity Type | Individual |
| Full Name | ELIZABETH VICTORIA CHAMBERLIN |
| Other Name | ELIZABETH VICTORIA REQUENA CHAPARRO |
| Practice Address |
111 10th St Sw Waverly IA 50677-2925 |
| Practice Telephone | 3193522064 |
| Practice Fax Number | 3193522329 |
| Mailing Telephone | 3193522064 |
| Mailing Fax Number | 3193522329 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
079124 | IA | Behavioral Health & Social Service Providers |
| Street Address |
111 10TH ST SW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114950979 | Pathways Behavioral Services Inc | Community/Behavioral Health | 111 10th St Sw, Waverly, IA 50677-2925 | 2006-07-07 |
| 1871105916 | Lacie Michelle Theis | Nurse Practitioner | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-08-19 |
| 1538790530 | Kelly Fischer | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-01-28 |
| 1669855078 | Melanie Tagtow | Social Worker | 111 10th St Sw, Waverly, IA 50677-2925 | 2015-07-02 |
| 1285036947 | Cam Turner | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2014-09-24 |
| 1942577093 | Sabrina Lynn Caudill | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2011-11-17 |
| 1912274069 | Jessica Kay Shipman | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2011-11-17 |
| 1598051567 | Jane Francine Freeseman | Registered Nurse | 111 10th St Sw, Waverly, IA 50677-2925 | 2011-06-28 |
| 1346540549 | Mona Evelyn Krugger | Counselor | 111 10th St Sw, Waverly, IA 50677 | 2010-10-22 |
| 1912225988 | Katherine A Kubik | Registered Nurse | 111 10th St Sw, Waverly, IA 50677-2925 | 2010-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094452 | Sunnycho Teeling | Counselor | 408 W Bremer Ave, Waverly, IA 50677-3153 | 2020-08-23 |
| 1134404189 | Heather M Eller-gilman | Counselor | 10630 N 136th St, Waverly, NE 68462 | 2011-10-20 |
| 1144528019 | Stephanie L Craft | Counselor | 227 Valley View Drive, Waverly, OH 45690-9135 | 2011-03-02 |
| 1104129741 | Julie R Kneip | Counselor | 609 4th Ave Sw, Waverly, IA 50677-3016 | 2010-12-20 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1861689259 | Lisa Raney | Counselor | 1304 2nd Ave Sw, Waverly, IA 50677-2813 | 2007-09-28 |
| 1669084844 | Amanda Marks | Counselor | 506 E Bremer Ave, Waverly, IA 50677-1748 | 2020-08-19 |
| 1295344034 | Steffany Kroeger | Counselor | 2022 3rd Ave Nw, Waverly, IA 50677-2010 | 2020-07-28 |
| 1538790530 | Kelly Fischer | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-01-28 |
| 1548819428 | Jamie Hagen Rockwell | Counselor | 14572 Us Highway 23, Waverly, OH 45690-9373 | 2019-09-04 |
| Find all providers in WAVERLY | ||||
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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.