MRS. LEEANN K BERG (NPI# 1710548581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710548581 |
Entity Type | Individual |
Full Name | MRS. LEEANN K BERG |
Credential | ARNP |
Practice Address |
1700 W Townline St Creston IA 50801-1054 |
Practice Telephone | 6417827091 |
Mailing Telephone | 6417827091 |
Mailing Fax Number | 6417823830 |
Enumeration Date | 2019-06-24 |
Last Update Date | 2019-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G154998 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1700 W TOWNLINE ST |
City | CRESTON |
State | IA |
Zip Code | 50801-1054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902805062 | Greater Regional Medical Center | General Acute Care Hospital | 1700 W Townline St, Creston, IA 50801-1054 | 2005-07-20 |
1699387787 | Megan Rose Ng | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2020-08-19 |
1912542614 | Laura F Hagen | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2019-11-18 |
1699259416 | Ryan David Denny | Audiologist | 1700 W Townline St, Creston, IA 50801-1054 | 2018-09-18 |
1780164996 | Megan D Birchard | Specialist/Technologist | 1700 W Townline St, Creston, IA 50801-1054 | 2018-08-16 |
1174014369 | Gina Michelle Latham | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2018-05-23 |
1346747193 | Chanda Lynn Moreland | General Practice | 1700 W Townline St, Creston, IA 50801-1054 | 2018-04-09 |
1184135998 | Jessica Crandall | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2017-10-19 |
1164942371 | Adrianna Cleopatra Shuey | Internal Medicine | 1700 W Townline St, Creston, IA 50801-1054 | 2017-06-20 |
1326424904 | Laura L Cunningham | Physician Assistant | 1700 W Townline St, Creston, IA 50801-1054 | 2015-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
1578735452 | Homestead of Creston Operations LLC | Assisted Living Facility | 1709 West Prairie Street, Creston, IA 50801 | 2008-03-31 |
1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
1578531877 | Crossroads Behavioral Health Services | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-10 |
1972540011 | James D Gerdes | Family Medicine | 1610 W Townline St, Creston, IA 50801 | 2006-05-31 |
Find all providers in zip 50801 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
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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.