MRS. LACI ANN DYKSTRA (NPI# 1699176297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699176297 |
| Entity Type | Individual |
| Full Name | MRS. LACI ANN DYKSTRA |
| Other Name | MISS LACI SNELLER |
| Credential | ARNP |
| Practice Address |
615 Washington St Pella IA 50219-1538 |
| Mailing Address |
1202 W Howard St Knoxville IA 50138-3103 |
| Practice Telephone | 6416282222 |
| Practice Fax Number | 6416282915 |
| Mailing Telephone | 6418422151 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A112498 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 WASHINGTON ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586594 | Kurt Ronald Vander Ploeg | Family Medicine | 615 Washington St, Pella, IA 50219-1538 | 2005-08-28 |
| 1467967968 | Knoxville Community Hospital Inc | Family Medicine | 615 Washington St, Pella, IA 50219-1538 | 2017-12-06 |
| 1093726861 | Kurt R. Vander Ploeg, M.d., P.C. | Family Medicine | 615 Washington St, Pella, IA 50219-1538 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
| Find all providers in zip 50219 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893250 | Jill Marian Konfrst | Nurse Practitioner | 412 E Oskaloosa St, Pella, IA 50219-2208 | 2005-06-30 |
| 1952810087 | Jessica Lee Streeter | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2017-09-20 |
| 1518374446 | Molly Engelhart | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2014-07-11 |
| 1710013719 | Van Hemert Chiropractic Center, P.C. | Nurse Practitioner | 1310 Washington St, Pella, IA 50219-1512 | 2007-02-26 |
| 1912938382 | Sheila K Punt | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508722 | Tlc Healthcare LLC | Nurse Practitioner | 202 N Main St Ste A, Monticello, IA 52310-1746 | 2020-11-06 |
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1427662832 | Schreiber Health Services Pllc | Nurse Practitioner | 8450 Hickman Rd Ste 16, Clive, IA 50325-4307 | 2020-09-02 |
| 1720606841 | Kristen Roberts | Nurse Practitioner | 108 Monroe St, Grand River, IA 50108-7510 | 2020-07-07 |
| 1437776747 | Michelle Gillitzer | Nurse Practitioner | 2450 Coral Ct, Coralville, IA 52241-2975 | 2020-07-02 |
| 1487271904 | Lynette Prickett | Nurse Practitioner | 15346 Dodgeville Rd, Sperry, IA 52650-9623 | 2020-06-30 |
| 1891311650 | Tiffany Amber Zieser | Nurse Practitioner | 1383 Fontana Blvd, Hazleton, IA 50641-5064 | 2020-06-17 |
| 1790300648 | Kdp Management Services LLC | Nurse Practitioner | 7109 Holcomb Ave, Urbandale, IA 50322-4740 | 2020-06-16 |
| 1982228920 | Samantha Quelland | Nurse Practitioner | 4090 Westown Pkwy # 106, West Des Moines, IA 50266-6760 | 2020-06-05 |
| 1841823622 | Melissa Lynn Coulter | Nurse Practitioner | 202 10th St Se Ste 165, Cedar Rapids, IA 52403-2433 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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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.