STACY JO HUCK (NPI# 1689229080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689229080 |
| Entity Type | Individual |
| Full Name | STACY JO HUCK |
| Other Name | STACY JO WHITE |
| Credential | CPNP-PC, ARNP |
| Practice Address |
312 9th St Sw Waverly IA 50677-2929 |
| Mailing Address |
1139 130th St Plainfield IA 50666-9652 |
| Practice Telephone | 3193524120 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C155255 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
312 9TH ST SW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364240 | Todd Larry Shover | Emergency Medicine | 312 9th St Sw, Waverly, IA 50677-2929 | 2005-05-27 |
| 1821600263 | Rachel Ann Sedlacek | Physical Therapist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-08-18 |
| 1578171294 | Rachel Hannah Cassens | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-07-20 |
| 1568093821 | Cassidy Riden | Speech-Language Pathologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-01-27 |
| 1285264630 | Ellen Elizabeth Jacque | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2999 | 2020-01-23 |
| 1538721394 | Shelby Marie Reiter | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-07-02 |
| 1477113405 | Natalie Marie Klobassa | Physical Therapist | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-06-20 |
| 1922666528 | Kelsey Masters | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-05-30 |
| 1215590153 | Tiffanie Lapan | Nurse Anesthetist, Certified Registered | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-04-16 |
| 1437624178 | Lori Lynn Ogden | Dietitian, Registered | 312 9th St Sw, Waverly, IA 50677-2999 | 2018-10-09 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
| 1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
| 1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
| 1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
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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.