NATASHA JEAN BROOM (NPI# 1649577586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649577586 |
| Entity Type | Individual |
| Full Name | NATASHA JEAN BROOM |
| Other Name | NATASHA JEAN WERNIMONT |
| Credential | CRNA |
| Practice Address |
1200 1st Ave E Spencer IA 51301-4342 |
| Practice Telephone | 7122646198 |
| Mailing Telephone | 7122646198 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | D125145 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 125145 | IA | Student, Health Care |
| Street Address |
1200 1ST AVE E |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081524 | Midwest Radiology and Imaging PC | Clinic/Center | 1200 1st Ave E, Spencer, IA 51301-4342 | 2005-05-24 |
| 1508478173 | Deanne Sue Hoger | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2020-08-17 |
| 1922642552 | Kayla Vanderhoff | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-11-06 |
| 1982259214 | Samantha Sheffield | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-08-05 |
| 1780142372 | Keith E Begeman | Nurse Anesthetist, Certified Registered | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-03-04 |
| 1316432826 | Spencer Municipal Hospital | Orthopaedic Surgery | 1200 1st Ave E, Spencer, IA 51301-4330 | 2018-06-27 |
| 1700383171 | John Sherrill | Student in an Organized Health Care Education/Training Program | 1200 1st Ave E, Spencer, IA 51301-4342 | 2018-04-11 |
| 1528579141 | Spencer Municipal Hospital | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-10-23 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1548782964 | Laura Ann Armstrong | Hospitalist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526108 | Kimberly Ann Morrissey | Student in an Organized Health Care Education/Training Program | 37 William Casey Rd, Spencer, MA 01562-3033 | 2020-01-02 |
| 1699241893 | Alyssa Boggs | Student in an Organized Health Care Education/Training Program | 132 Dodd Dr, Spencer, WV 25276-1046 | 2018-10-16 |
| 1346778925 | Yolanda Lee Sullivan | Student in an Organized Health Care Education/Training Program | 45 Sherman Grv, Spencer, MA 01562-1429 | 2017-05-26 |
| 1295267649 | Kendra Beth Smith | Student in an Organized Health Care Education/Training Program | 6 Steele Hollow Rd, Spencer, WV 25276-9113 | 2017-04-03 |
| 1366719809 | Pamela Elaine Goodman | Student in an Organized Health Care Education/Training Program | Dartt Crossroad & Route 34, Spencer, NY 14883 | 2011-11-29 |
| 1700383171 | John Sherrill | Student in an Organized Health Care Education/Training Program | 1200 1st Ave E, Spencer, IA 51301-4342 | 2018-04-11 |
| 1427301225 | Dianne Snow | Student in an Organized Health Care Education/Training Program | 15 School St, Spencer, MA 01562-2053 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908836 | Sarahi Casillas | Student in an Organized Health Care Education/Training Program | 5705 Nw 57th Ave, Johnston, IA 50131-1437 | 2020-07-06 |
| 1437773124 | Laura Christ | Student in an Organized Health Care Education/Training Program | 2435 Se 12th St, West Des Moines, IA 50265-8547 | 2020-05-29 |
| 1558981001 | Townsen G Kennington | Student in an Organized Health Care Education/Training Program | 1720 E Lacona Ave, Des Moines, IA 50320-1166 | 2020-04-24 |
| 1841810645 | Brenda J Lugo | Student in an Organized Health Care Education/Training Program | 810 Pierce St, Iowa Falls, IA 50126-1417 | 2020-04-21 |
| 1528687332 | Allison Baumhover | Student in an Organized Health Care Education/Training Program | 13556 Mahogany Ave, Carroll, IA 51401-8849 | 2020-04-11 |
| 1811526502 | Armin Avdic | Student in an Organized Health Care Education/Training Program | 820 Olde Macabe Cir, Coralville, IA 52241-1780 | 2020-04-03 |
| 1013545722 | Abby Lee Rewoldt | Student in an Organized Health Care Education/Training Program | 339 Teeters Ct, Iowa City, IA 52246-3839 | 2020-03-29 |
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1104453752 | Michael Sarris | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave # D, Des Moines, IA 50312-4104 | 2020-03-24 |
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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.