LACEY JO MYERS I (NPI# 1821461344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821461344 |
| Entity Type | Individual |
| Full Name | LACEY JO MYERS I |
| Credential | ARNP |
| Practice Address |
1325 Ne 31st St Ankeny IA 50021-6695 |
| Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
| Practice Telephone | 5152791959 |
| Practice Fax Number | 5152890888 |
| Mailing Telephone | 5152373974 |
| Mailing Fax Number | 5158832692 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A128569 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE PTAN MMP | I43700006 | 01 |
| IA | MEDICARE PTAN TEAMMD | IB3557001 | 01 |
| Street Address |
1325 NE 31ST ST |
| City | ANKENY |
| State | IA |
| Zip Code | 50021-6695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797494 | Cynthia S Rebik Christensen | Nurse Practitioner | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2005-08-12 |
| 1205382405 | Taren Flug | Nurse Practitioner | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2016-08-28 |
| 1366748212 | Jessica Sue Lilland | Nurse Practitioner | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2011-02-09 |
| 1952552655 | Stephanie L Eason | Nurse Practitioner | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2008-10-01 |
| 1225030836 | Ben Arnold Collins Jr. | Internal Medicine | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856298 | Amy Jo Coenen | Physical Therapy Assistant | 710 East 1st Street, Ankeny, IA 50021 | 2019-02-08 |
| 1073006847 | Kylie Linn Shear | Behavior Technician | 1555 Se Deleware, Ankeny, IA 50021 | 2018-06-07 |
| 1174013445 | Maxwell Sando | Psychologist | 250 Ne 41st Unit 260, Ankeny, IA 50021 | 2018-05-12 |
| 1235638537 | Bria Lynn Colyer | Massage Therapist | 104 Ne 46th Lane Number 9, Ankeny, IA 50021 | 2018-02-02 |
| 1134485998 | Leslie R. Fenimore | Nurse Practitioner | 800 1st Avenue, Mercy North Clinic, Ankeny, IA 50021 | 2012-04-05 |
| 1063713667 | Lori Eisbrener | Counselor | 2525 N Ankeny Blvd, Ste 113, Ankeny, IA 50021 | 2010-11-12 |
| 1679899355 | Rcf Youth Project | Community/Behavioral Health | 738 Ne 8th Street, Ankeny, IA 50021 | 2010-04-20 |
| 1437320595 | Iowa Sleep Disorders Center, P.C. | Clinic/Center | 400 Se Delaware Ave, Ankeny, IA 50021 | 2008-03-17 |
| 1558553891 | Center for Interpersonal Effectiveness, PC | Community/Behavioral Health | 2525 N. Ankeny Blvd., Ste 113, Ankeny, IA 50021 | 2007-08-10 |
| 1295850196 | Stacy Burns Young | Speech-Language Pathologist | 301 Ne Trilein, Suite 4, Ankeny, IA 50021 | 2007-03-20 |
| Find all providers in zip 50021 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325155 | Ashley Lynn Williams-payan | Nurse Practitioner | 2023 Nw Lakeside Dr, Ankeny, IA 50023-4804 | 2020-01-24 |
| 1649637224 | Stephanie D Alcorn | Nurse Practitioner | 1410 Sw Tradition Dr Ste 260, Ankeny, IA 50023 | 2016-01-27 |
| 1134485998 | Leslie R. Fenimore | Nurse Practitioner | 800 1st Avenue, Mercy North Clinic, Ankeny, IA 50021 | 2012-04-05 |
| 1801905047 | Shelley Ann Kramer | Nurse Practitioner | 2602 Nw Parkridge Dr, Ankeny, IA 50023-9181 | 2006-08-30 |
| 1467469262 | Becky L Parrish | Nurse Practitioner | 704 N Ankeny Blvd, Ankeny, IA 50023 | 2006-08-02 |
| 1780661850 | Patricia J Cox | Nurse Practitioner | 1105 N Ankeny Blvd, Ankeny, IA 50023-4006 | 2005-12-29 |
| 1114543048 | Tonya Shirrell Stewart | Nurse Practitioner | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2020-06-16 |
| 1114549847 | Jenica Dunavan | Nurse Practitioner | 2675 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4719 | 2020-05-15 |
| 1790322584 | Lindsay P Maxwell | Nurse Practitioner | 2675 N Ankeny Blvd, Ankeny, IA 50023-4718 | 2019-11-29 |
| 1295118503 | Katelyn Conrad | Nurse Practitioner | 2605 Sw White Birch Drive, Ankeny, IA 50023-7204 | 2015-07-06 |
| Find all providers in ANKENY | ||||
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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.