DR. KYMBERLY J LIFE (NPI# 1770562902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770562902 |
| Entity Type | Individual |
| Full Name | DR. KYMBERLY J LIFE |
| Credential | DO |
| Practice Address |
1229 C Ave E Oskaloosa IA 52577-4246 |
| Practice Telephone | 6416723100 |
| Practice Fax Number | 6416723111 |
| Mailing Telephone | 6416723100 |
| Mailing Fax Number | 6416723111 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2009-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
02450 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3069252 | 05 | |
| IA | RR MEDICARE PROVIDER NUMB | P0021924 | 01 |
| IA | IA BLUE SHIELD PROVIDER N | 05520 | 01 |
| Street Address |
1229 C AVE E |
| City | OSKALOOSA |
| State | IA |
| Zip Code | 52577-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153846 | Melissa N Gentry | Physician Assistant | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2005-09-01 |
| 1477171767 | Kimberly Gaylor | Counselor | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2020-07-13 |
| 1730706318 | Jana Catherine Galbreath | Nurse Practitioner | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2020-06-30 |
| 1912528910 | Leah Ray Vanloon | Registered Nurse | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2020-04-30 |
| 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 |
| 1215581251 | Anna Marie Throckmorton | Family Medicine | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2019-07-29 |
| 1043872633 | Bailey R Terpstra | Specialist/Technologist | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2019-07-03 |
| 1518420397 | Neal Patrick Pyne | Occupational Therapist | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2019-04-09 |
| 1235614264 | Tiffany Marie Martin | Nurse Anesthetist, Certified Registered | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2018-09-25 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114907573 | Matthew G Whitis | Emergency Medicine | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2006-01-20 |
| 1639159304 | Mahaska County Hospital | Emergency Medicine | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2006-01-19 |
| 1841279064 | Andrew M Frost | Emergency Medicine | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2006-01-16 |
| 1740269976 | Deborah R Nielsendejong | Emergency Medicine | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1477543668 | Michael M Rosenblatt | Emergency Medicine | 1605 Haskell St, Burlington, IA 52601-1406 | 2005-10-27 |
| 1972098150 | Amanda Sieve | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-06-29 |
| 1508374927 | Kari Lynn Tessum | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-19 |
| 1629312723 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2012-11-15 |
| 1902162191 | Sarah Wolf Field | Emergency Medicine | 500 E Market St, Iowa City, IA 52245 | 2012-04-02 |
| 1235422056 | Brian Michael Kuchay | Emergency Medicine | 621 S Illinois Ave, Mason City, IA 50401-5405 | 2011-05-26 |
| 1497953350 | Heather Noel Stein Poskevich | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-07-03 |
| 1689705949 | Jackson County Public Hospital | Emergency Medicine | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-03-08 |
| 1164593109 | Buena Vista Regional Medical Center | Emergency Medicine | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-11-13 |
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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.