CALISTA ANN CONYAC (NPI# 1730786229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730786229 |
| Entity Type | Individual |
| Full Name | CALISTA ANN CONYAC |
| Practice Address |
908 Benton Avenue Corning IA 50841-5160 |
| Mailing Address |
1211 W Sheridan Ave Shenandoah IA 51601-1553 |
| Practice Telephone | 7122153479 |
| Mailing Telephone | 7122153479 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
908 BENTON AVENUE |
| City | CORNING |
| State | IA |
| Zip Code | 50841-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720283757 | Maria Del Rosario Reyna Fuller | Dentist | 2244 Loomis Ave, Corning, IA 50841 | 2007-06-19 |
| 1528270600 | Adams-taylor-union County Case Management | Case Management | 900 Benton, Corning, IA 50841 | 2007-05-03 |
| 1073690822 | Wilkinson-johnston, Inc. | Custodial Care Facility | 2168 Us Hwy. 34, Corning, IA 50841 | 2006-11-01 |
| 1447704911 | Grace Lyne Brotherton | Counselor | 603 Rosary Dr., Senior Life Solutions, Corning, IA 50841 | 2016-08-12 |
| 1952764425 | Tabitha Sue Wilson | Pediatrics | 603 Rosary Dr, Corning, IA 50841 | 2016-04-01 |
| 1477751576 | Fuller Family Dental, Plc | Dentist | 2244 Loomis Ave, Corning, IA 50841 | 2007-07-10 |
| 1942630967 | Megan King | Dietitian, Registered | 1007 9th St, Corning, IA 50841-1312 | 2013-11-13 |
| 1407010960 | Robert Delaine Peterson | Dentist | 505 8th St, Corning, IA 50841-1403 | 2008-07-14 |
| 1215012109 | John T King | Dentist | 504 8th Street, Corning, IA 50841-1404 | 2006-10-26 |
| 1013094879 | Chance Mr | Community/Behavioral Health | 600 8th St, Corning, IA 50841-1406 | 2006-11-01 |
| Find all providers in zip 50841 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700056892 | Jennifer Hillman | Counselor | 114 Chestnut St, Corning, NY 14830-2514 | 2008-03-05 |
| 1689712820 | Candice A Cleveland | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-02-01 |
| 1609925817 | Family Service Society Inc | Counselor | 280 Princeton Ave Ext, Corning, NY 14830-1524 | 2007-01-09 |
| 1649373002 | Andrew Ober Taylor | Counselor | 145 East 2nd Street, Corning, NY 14850 | 2006-09-07 |
| 1659979227 | Emily Frances Rush Mcclintock | Counselor | 114 Chestnut St, Corning, NY 14830-2514 | 2020-10-15 |
| 1225690399 | Jolie Merrill | Counselor | 77 E 1st St, Corning, NY 14830-2715 | 2019-06-28 |
| 1265901201 | Cynthia Lyn Gee | Counselor | 33 Denison Pkwy W, Corning, NY 14830-2613 | 2018-11-20 |
| 1598230237 | Alisha Renee Ost | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2018-10-09 |
| 1588139778 | Jennifer Briggs Ellison | Counselor | 77 E 1st St, Corning, NY 14830-2715 | 2018-10-04 |
| 1518411941 | Kelsey A. Skerpan | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2016-08-15 |
| Find all providers in CORNING | ||||
Please comment or provide details below to improve the information on CALISTA ANN CONYAC.
| 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.