STEPHANIE GUDENKAUF (NPI# 1659800480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659800480 |
Entity Type | Individual |
Full Name | STEPHANIE GUDENKAUF |
Credential | NP |
Practice Address |
709 W Main St Manchester IA 52057-1526 |
Mailing Address |
Po Box 359 Manchester IA 52057-0359 |
Practice Telephone | 5639277777 |
Enumeration Date | 2017-06-06 |
Last Update Date | 2020-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06170003 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
709 W MAIN ST |
City | MANCHESTER |
State | IA |
Zip Code | 52057-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255339800 | C. Dan Meyer | Physician Assistant | 709 W Main St, Manchester, IA 52057-1526 | 2005-07-08 |
1407454044 | Derek Manson Dzaboff | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2020-10-15 |
1063033413 | Nicole Brehm | Social Worker | 709 W Main St, Manchester, IA 52057-1526 | 2020-04-27 |
1225666894 | Kaitlin Rose Reece | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2020-03-30 |
1083105779 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 709 W Main St, Manchester, IA 52057-1526 | 2018-05-29 |
1609306398 | Cara Paris | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-14 |
1114456308 | Jodi Helle | Nurse Practitioner | 709 W Main St, Manchester, IA 52057-1526 | 2017-06-09 |
1124552591 | Molly Olson | Family Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2017-04-12 |
1548615206 | Joshua C Mann | Physician Assistant | 709 W Main St, Manchester, IA 52057-1526 | 2016-05-02 |
1871955435 | Mark Richard Bennett Jr. | Nurse Anesthetist, Certified Registered | 709 W Main St, Manchester, IA 52057-1526 | 2016-03-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
Find all providers in zip 52057 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
1497368146 | Sarah Kuzara | Nurse Practitioner | 1069 Big Bend Crossing Dr, Manchester, MO 63088-1296 | 2020-08-24 |
1265068910 | Katelyn Denise Walker | Nurse Practitioner | 306 Boone Dr, Manchester, TN 37355-7820 | 2020-03-13 |
1780219659 | Ashlynn Fogg | Nurse Practitioner | 1750 Elm St Ste 201a, Manchester, NH 03104-2903 | 2020-03-11 |
1922669357 | Heather Rogers Hansen | Nurse Practitioner | 1279 S Willow St Ste E, Manchester, NH 03103-4015 | 2019-06-26 |
1619433802 | Samantha Ashley Case | Nurse Practitioner | 635 Clay St Fl 1, Manchester, NH 03103-4507 | 2019-02-13 |
1538640420 | Isaac Okyere Ampofo | Nurse Practitioner | 629 Middle Turnpike East, Manchester, CT 06040-3571 | 2018-08-28 |
1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
1952817371 | Rodrick Emmanuel Thomas | Nurse Practitioner | 553 S Commercial St Apt 309, Manchester, NH 03101-2749 | 2017-12-20 |
1063950160 | Kacy Mikala Kirk | Nurse Practitioner | 183 Roberts Creek Cir, Manchester, TN 37355-3690 | 2017-02-08 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 52057 |
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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.