SHASTA LEE GAMBLE (NPI# 1659843506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659843506 |
| Entity Type | Individual |
| Full Name | SHASTA LEE GAMBLE |
| Practice Address |
1300 Metro East Dr Ste 110 Pleasant Hill IA 50327-8906 |
| Practice Telephone | 5152430011 |
| Practice Fax Number | 5152437711 |
| Mailing Telephone | 5152430011 |
| Mailing Fax Number | 5152437711 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1300 METRO EAST DR STE 110 |
| City | PLEASANT HILL |
| State | IA |
| Zip Code | 50327-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321095 | Sass.illy Endeavors, Inc. | Technician | 1300 Metro East Dr Ste 110, Pleasant Hill, IA 50327-8906 | 2020-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172153 | Louis Wenger | Dentist | 5890 Morning Star Court, Pleasant Hill, IA 50327 | 2017-05-24 |
| 1154482982 | Southeast Polk Community School District | Local Education Agency (LEA) | 8379 Ne University Ave., Pleasant Hill, IA 50327 | 2006-12-13 |
| 1093810269 | Harold Robert Shelton | Chiropractor | 4800 Maple Dr, Pleasant Hill, IA 50327 | 2006-09-13 |
| 1578512778 | Eye Care of Iowa PC | Optometrist | 5075 E University Ave, Ste C, Pleasant Hill, IA 50327 | 2006-05-08 |
| 1528597457 | Aaron Jones | Dentist | 1286 Copper Creek Dr, Pleasant Hill, IA 50327 | 2017-06-05 |
| 1871049668 | Megan Hanson | Physician Assistant | 5900 E. University Avenue, Suite 100, Pleasant Hill, IA 50327 | 2016-08-31 |
| 1891148151 | Macy Dieleman | Optometrist | 5075 E University Ave, Pleasant Hill, IA 50327 | 2016-07-21 |
| 1184802258 | Somnicare, Inc. | Durable Medical Equipment & Medical Supplies | 1225 Copper Creek Dr, Ste G, Pleasant Hill, IA 50327 | 2008-01-31 |
| 1770129041 | Eric Smargiasso | Hearing Instrument Specialist | 4440 E University Ave, Pleasant Hill, IA 50327-1701 | 2019-11-21 |
| 1437369998 | Kristina Kay Naeve | Chiropractor | 4430 E University Ave, Pleasant Hill, IA 50327-1701 | 2007-05-23 |
| Find all providers in zip 50327 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321095 | Sass.illy Endeavors, Inc. | Technician | 1300 Metro East Dr Ste 110, Pleasant Hill, IA 50327-8906 | 2020-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375162 | Bette Lou Burke | Technician | 1464 255th St, Donnellson, IA 52625-9670 | 2020-10-26 |
| 1427660174 | Salve Bual Mclaughlin | Technician | 2079 Garfield Ave, Dubuque, IA 52001-1409 | 2020-08-22 |
| 1306469168 | Michaella Marie Power | Technician | 401 Se Q St, Apt 31, Leon, IA 50144 | 2020-05-27 |
| 1427671692 | Victoria Marie Severson | Technician | 705 Circle Dr, Rolfe, IA 50581-1029 | 2020-05-22 |
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1801422902 | Eric Scott Lund | Technician | 1011 N Jefferson Way Ste 200, Indianola, IA 50125-1499 | 2020-03-20 |
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1114565389 | Kristan Weiss | Technician | 2824 W Locust St, Davenport, IA 52804-3340 | 2019-12-18 |
| 1588202261 | Kathleen M.s. Lucas | Technician | 32335 Old Lincoln Hwy, Missouri Valley, IA 51555-6027 | 2019-12-13 |
| 1366084675 | Jenna Allen | Technician | 705 Circle Drive, Rolfe, IA 50581 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HILL |
| Zip Code | 50327 |
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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.