REBECCA L. CHITTENDEN (NPI# 1841434313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841434313 |
| Entity Type | Individual |
| Full Name | REBECCA L. CHITTENDEN |
| Credential | PA |
| Practice Address |
1753 W Ridgeway Ave Suite 102 Waterloo IA 50701-4544 |
| Practice Telephone | 3198335888 |
| Practice Fax Number | 3198335891 |
| Mailing Telephone | 3198335888 |
| Mailing Fax Number | 3198335891 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | P00751366 | 01 |
| Street Address |
1753 W RIDGEWAY AVE SUITE 102 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915483 | Jayalakshmi Murugaian | Family Medicine | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2006-01-06 |
| 1235589656 | Robin Marie Pattison | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2016-06-16 |
| 1134580657 | Nicole D Slater | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 102, Waterloo, IA 50701-4544 | 2016-03-10 |
| 1912381443 | Carmen Mundt | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 107, Waterloo, IA 50701-4544 | 2015-07-14 |
| 1942606868 | Robin Elizabeth Farley | Specialist/Technologist, Other | 1753 W Ridgeway Ave, Suite103b, Waterloo, IA 50701-4544 | 2014-11-05 |
| 1891039202 | Sara Nicole O'brien | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4544 | 2012-11-26 |
| 1699924407 | Crystal Dawn Schrader | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 105, Waterloo, IA 50701-4544 | 2008-09-17 |
| 1811021298 | Jessica J Curcio | Naturopath | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2007-03-15 |
| 1699848481 | Cedar Valley Medical Specialists, P.C. | Durable Medical Equipment & Medical Supplies | 1753 W Ridgeway Ave, Suite104, Waterloo, IA 50701-4544 | 2006-11-17 |
| 1285722041 | Sara Beth Harnack | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4588 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013979079 | Shanon Dione Bennett | Physician Assistant | 1731 W Ridgeway Ave Ste 100, Waterloo, IA 50701-4591 | 2006-04-05 |
| 1134180870 | Mary Margaret Heatley | Physician Assistant | 2515 Cyclone Dr Ste B, Waterloo, IA 50701 | 2006-03-31 |
| 1306829775 | Jessica M Wachtel | Physician Assistant | 509 Hamacher Street, Suite 102, Waterloo, IL 62298 | 2005-11-21 |
| 1902893779 | Michelle B Nepple | Physician Assistant | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2005-10-05 |
| 1164421954 | Heidi M Bonthuis | Physician Assistant | 905 Franklin St, Waterloo, IA 50703-4407 | 2005-07-14 |
| 1003420100 | Paige Stanzel | Physician Assistant | 610 Jefferson St, Waterloo, NE 68069-2212 | 2020-09-04 |
| 1871120147 | Carolyn Anna Steenhoek | Physician Assistant | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-03-25 |
| 1346784675 | Associated Physicians Group Ltd | Physician Assistant | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2016-12-06 |
| 1760774749 | Lynn Renee Day | Physician Assistant | 220 Southbrooke Dr, Waterloo, IA 50702-5802 | 2011-05-09 |
| 1578791570 | Andrea Leigh Hansen | Physician Assistant | 1825 Logan Ave, Emergency Department, Waterloo, IA 50703-1916 | 2009-06-29 |
| Find all providers in WATERLOO | ||||
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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.