MRS. MICHELLE EBERLEY MCKERNAN (NPI# 1790030401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790030401 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE EBERLEY MCKERNAN |
| Credential | FCPI |
| Practice Address |
1355 50th St Suite 100 West Des Moines IA 50266-1617 |
| Practice Telephone | 5152253261 |
| Practice Fax Number | 5152251944 |
| Mailing Telephone | 5152253261 |
| Mailing Fax Number | 5152251944 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IA | Other Service Providers | |
| N | 174H00000X | Health Educator | IA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942688353 | Michelle Lee Mckernan | Licensed Practical Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2015-05-18 |
| Street Address |
1355 50TH ST SUITE 100 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558341628 | Gregory C Mckernan | Family Medicine | 1355 50th St, Suite 100, West Des Moines, IA 50266-1617 | 2006-01-17 |
| 1225383458 | Lindsay Nicole Kurth | Specialist | 1355 50th St, Suite 100, West Des Moines, IA 50266-1617 | 2012-07-13 |
| 1386909331 | Vitae Family Care Clinic, L.L.C. | Family Medicine | 1355 50th St, Suite 100, West Des Moines, IA 50266-1617 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306379961 | Ted Schierer | Specialist | 8350 Ep True Parkway, Unit 1201, West Des Moines, IA 50266-8321 | 2017-04-10 |
| 1487094488 | Jack L Morlan | Specialist | 1900 Grand Ave, West Des Moines, IA 50265-4217 | 2013-07-05 |
| 1609000306 | Conte Tcv PC | Specialist | 4949 Westown Pkwy Ste 100, West Des Moines, IA 50266-6704 | 2009-05-08 |
| 1598760753 | Suzanne Feigofsky | Specialist | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2005-06-15 |
| 1730553777 | Audiological Services & Instruments, Inc. | Specialist | 1960 Grand Ave, Ste. 7, West Des Moines, IA 50265-4218 | 2015-11-13 |
| 1225383458 | Lindsay Nicole Kurth | Specialist | 1355 50th St, Suite 100, West Des Moines, IA 50266-1617 | 2012-07-13 |
| 1144451907 | Brenton Eugene Freeman | Specialist | 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 | 2009-07-28 |
| 1760660708 | Heidi Marie Curran | Specialist | 1978 Grand Ave Ste 45, West Des Moines, IA 50265-4217 | 2008-02-01 |
| 1770607350 | Christopher John Wiedmann | Specialist | 6001 Westown Pkwy, Suite 205, West Des Moines, IA 50266-7702 | 2007-03-19 |
| 1336238278 | Heather E. Mcclellan | Specialist | Central Rehabilitation, Ltd, 950 Office Park Road, Suite 100, West Des Moines, IA 50265 | 2006-10-11 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on MRS. MICHELLE EBERLEY MCKERNAN.
| 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.