KRISTI A BULLOCK (NPI# 1760458178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760458178 |
Entity Type | Individual |
Full Name | KRISTI A BULLOCK |
Credential | PA |
Practice Address |
5350 Eastern Ave. Davenport IA 52807-2709 |
Practice Telephone | 5633551853 |
Practice Fax Number | 5633591512 |
Mailing Telephone | 5633551853 |
Mailing Fax Number | 5633591512 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2017-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 001204 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5350 EASTERN AVE. |
City | DAVENPORT |
State | IA |
Zip Code | 52807-2709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255305082 | P Jo Ann Neilson | Nurse Practitioner | 5350 Eastern Ave., Davenport, IA 52807-2709 | 2006-02-16 |
1255680484 | Laura Elizabeth Sierra | Advanced Practice Midwife | 5350 Eastern Ave., Davenport, IN 52807-2709 | 2012-09-04 |
1154677193 | Lydia Jeanne Swailes | Advanced Practice Midwife | 5350 Eastern Ave., Davenport, IA 52807-2709 | 2012-07-27 |
1497061261 | Trisha L Nelson | Nurse Practitioner | 5350 Eastern Ave., Davenport, IA 52807-2709 | 2010-08-31 |
1699743492 | Stacey L Flynn | Nurse Practitioner | 5350 Eastern Ave., Davenport, IA 52807-2709 | 2006-03-09 |
1306814108 | Beth Carlson | Advanced Practice Midwife | 5350 Eastern Ave., Davenport, IA 52807-2709 | 2006-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
Find all providers in zip 52807 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
1598229262 | Katherine E. Asprey | Physician Assistant | 1800 E 54th St Ste B, Davenport, IA 52807-2852 | 2019-01-28 |
1588177182 | Kelsey Alexandra Schaeffer | Physician Assistant | 2302 North Blvd W Ste A, Davenport, FL 33837-8923 | 2017-11-06 |
1467907360 | Melina Norberto | Physician Assistant | 141 Webb Dr Ste 300, Davenport, FL 33837-3951 | 2016-08-20 |
1063815017 | Carissa L Pardekooper | Physician Assistant | 1800 E. 54th Street, Ste B, Davenport, IA 52807-2763 | 2014-10-06 |
1548661457 | Malwina Huzarska | Physician Assistant | 127 Oak Promenade Ct, Davenport, FL 33896-8163 | 2014-09-10 |
1871934851 | Benjamin J Kolner | Physician Assistant | 3385 Dexter Ct Ste 103, Davenport, IA 52807-3471 | 2013-07-08 |
1528303799 | Kajalben Patel | Physician Assistant | 2209 North Blvd W, Davenport, FL 33837-8903 | 2012-11-29 |
1710959622 | Jose Luis Lizardi | Physician Assistant | 306 Hollingshead Loop, Davenport, FL 33896-7829 | 2006-02-03 |
Find all providers in DAVENPORT |
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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.