JESSICA MARIE EVERMAN (NPI# 1760821045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760821045 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE EVERMAN |
| Credential | PA |
| Practice Address |
120 2nd Ave Se Waukon IA 52172-2073 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 5635683000 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002390 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 2ND AVE SE |
| City | WAUKON |
| State | IA |
| Zip Code | 52172-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896046 | Andrea Lynn Venteicher | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2005-10-27 |
| 1316507858 | Morgan Leigh Smerud | Optometrist | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2019-06-17 |
| 1265934384 | Raquel S Ristau | Physician Assistant | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2018-03-05 |
| 1053775015 | Kristin T Tang | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2016-04-06 |
| 1710100938 | Melissa M Simon | Family Medicine | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2007-04-10 |
| 1679577068 | James P Rixen | Optometrist | 120 2nd Ave Se, Waukon, IA 52172-2073 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
| 1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
| 1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| 1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1720173990 | Northeast Iowa Dental Professional Corporation | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-10-04 |
| 1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
| 1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
| 1528058062 | David B Schwartz | Hospitalist | 40 1st St Se, Waukon, IA 52172 | 2005-10-26 |
| Find all providers in zip 52172 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083363 | Jonathan L Hawes | Physician Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| 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.