TANETTA C MAIN (NPI# 1770548075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770548075 |
| Entity Type | Individual |
| Full Name | TANETTA C MAIN |
| Other Name | TANETTA C HOVEN |
| Credential | RN, FNP |
| Practice Address |
410 N 12th St Oskaloosa IA 52577-2495 |
| Mailing Address |
2000 S Main St Fairfield IA 52556-9572 |
| Practice Telephone | 6416723360 |
| Mailing Telephone | 6416723360 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-112035 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2000167490 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420721300 | 05 | |
| MO | 595956202 | 05 | |
| MO | 595956103 | 05 | |
| MO | 599225901 | 05 | |
| BCBS | 36800048 | 01 | |
| MO | 010568509 | 05 | |
| MO | 540568508 | 05 | |
| MO | 595956400 | 05 | |
| MO | 595985805 | 05 | |
| BCBS | 36800018 | 01 |
| Street Address |
410 N 12TH ST |
| City | OSKALOOSA |
| State | IA |
| Zip Code | 52577-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275566770 | Iowa Rural Surgical Associates, P.C. | Surgery | 410 N 12th St, Suite 200, Oskaloosa, IA 52577-2495 | 2006-07-08 |
| 1568404317 | Kimberly Sue Seda | Physician Assistant | 410 N 12th St, Oskaloosa, IA 52577-2495 | 2006-06-12 |
| 1326012030 | Family Medical Center P C | Family Medicine | 410 N 12th St, Suite 300, Oskaloosa, IA 52577-2495 | 2006-02-17 |
| 1306819248 | Lori L Bailey | Nurse Practitioner | 410 N 12th St, Suite 100, Oskaloosa, IA 52577-2495 | 2006-02-10 |
| 1184697385 | Sreedhar Somisetty | Orthopaedic Surgery | 410 N 12th St, Suite 100, Oskaloosa, IA 52577-2495 | 2006-02-08 |
| 1801884184 | Allan E Peterson | Family Medicine | 410 N 12th St, Oskaloosa, IA 52577-2495 | 2005-10-11 |
| 1164410445 | Shawn Michael Richmond | Family Medicine | 410 N 12th St, Oskaloosa, IA 52577-2495 | 2005-10-11 |
| 1336137611 | Anne K Whitis | Family Medicine | 410 N 12th St, Suite 300, Oskaloosa, IA 52577-2495 | 2005-10-11 |
| 1396733697 | Randall C Hart | Family Medicine | 410 N 12th St, Suite 300, Oskaloosa, IA 52577-2495 | 2005-10-11 |
| 1427046804 | Edward C Hirl | Family Medicine | 410 N 12th St, Oskaloosa, IA 52577-2495 | 2005-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
| 1306373089 | Kristal Williams | Counselor | 114 N. Market St., Oskaloosa, IA 52577 | 2017-05-12 |
| 1801345830 | Kristi Lyn Foster | Hearing Instrument Specialist | 714 A Ave West, Oskaloosa, IA 52577 | 2016-10-03 |
| 1972811198 | Crossroads of Pella | Community/Behavioral Health | 103 North 3rd Street, Oskaloosa, IA 52577 | 2010-09-22 |
| 1184809477 | Carli Raye Hahn | Psychologist | 814 2nd Ave East, Oskaloosa, IA 52577 | 2008-01-04 |
| 1982824173 | Laura Adam | Dentist | 2335 Hwy 92 E, Oskaloosa, IA 52577 | 2007-04-27 |
| 1891910881 | Homestead of Oskaloosa Operations LLC | Assisted Living Facility | 2102 South Market Street, Oskaloosa, IA 52577 | 2007-04-16 |
| 1194891374 | Karen Anne Spahr | Internal Medicine | 1203 A Ave East, Oskaloosa, IA 52577 | 2006-11-28 |
| 1376626648 | Wal-mart Stores, Inc. | Technician/Technologist | 2203 Avenue A West, Oskaloosa, IA 52577 | 2006-10-23 |
| 1003913229 | Heartland Home Care Inc | Home Health | 212 North Market Street, Oskaloosa, IA 52577 | 2006-09-20 |
| Find all providers in zip 52577 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771936 | Kimberly Anne Veldhuizen | Nurse Practitioner | 716 N 11th St, Oskaloosa, IA 52577-2409 | 2018-12-17 |
| 1629373881 | Brenda Jill Clark | Nurse Practitioner | 2312 Ridgeway Ave, Oskaloosa, IA 52577-9109 | 2011-01-20 |
| 1629629951 | Tara K Stout | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2019-09-27 |
| 1447808092 | Gayle Johnson | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2019-08-27 |
| 1558844571 | Jessica J Tokle | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2018-09-14 |
| 1518329606 | Bryon Bellinger | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2016-03-28 |
| 1942660204 | Kimberly Rutledge | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2016-03-01 |
| 1205292448 | Tonya Johannes | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2016-01-04 |
| 1770957912 | Robyn Lynn Griffiths | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2015-11-28 |
| 1831438944 | Eva Sietsema | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2013-02-08 |
| Find all providers in OSKALOOSA | ||||
Please comment or provide details below to improve the information on TANETTA C MAIN.
| 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.