ALLYSON RAE LANDPHAIR (NPI# 1902859804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902859804 |
| Entity Type | Individual |
| Full Name | ALLYSON RAE LANDPHAIR |
| Other Name | ALLYSON RAE COOK |
| Credential | ARNP |
| Practice Address |
1753 W Ridgeway Ave Ste 111 Waterloo IA 50701-4588 |
| Mailing Address |
Po Box 2660 Waterloo IA 50704-2660 |
| Practice Telephone | 3192336211 |
| Practice Fax Number | 3192332164 |
| Mailing Telephone | 3192336211 |
| Mailing Fax Number | 3192332164 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A095751 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK INS PLAN | 42583 | 01 |
| IA | JOHN DEERE HEALTH INS PLA | 421417307F4 | 01 |
| IA | 0453670 | 05 |
| Street Address |
1753 W RIDGEWAY AVE STE 111 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013960129 | Eromosele Anthony Otoadese | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 | 2006-05-18 |
| 1568870566 | Spencer Kay Kleitsch | Nurse Practitioner | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 | 2014-07-23 |
| 1942545975 | Northern Iowa Cardiovascular and Thoracic Surgery Clinic, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 | 2012-12-03 |
| 1144234220 | Kathryn M Thompson | Audiologist | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701 | 2006-07-27 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942686811 | Cindy Ann Grow | Nurse Practitioner | 45 W Jefferson St Apt 318, Waterloo, IA 50701-1331 | 2015-08-03 |
| 1578905832 | Kathryn Ann Heetland | Nurse Practitioner | 200 E Ridgeway Ave, Waterloo, IA 50702-5060 | 2013-07-26 |
| 1073823639 | Alison S Mcfadden | Nurse Practitioner | 3254 Kimball Ave, Waterloo, IA 50702-5739 | 2010-10-18 |
| 1972822393 | Maria Lynn Metcalf | Nurse Practitioner | 152 W Dale St, Waterloo, IA 50703-1925 | 2010-05-25 |
| 1609103167 | Melanie Rose Schwartz | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2009-11-04 |
| 1336230499 | Tracy M Hasler | Nurse Practitioner | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2006-09-27 |
| 1013023308 | Janet L Owen | Nurse Practitioner | 367 E Main St, Waterloo, NY 13165-1643 | 2006-08-21 |
| 1235150046 | Julee R Radtke | Nurse Practitioner | 111 Anna St, Waterloo, WI 53594-1184 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414004 | Daniel Timothy Holthaus | Nurse Practitioner | 1403 Mckinley Pl, Iowa City, IA 52246-4142 | 2020-10-12 |
| 1942814462 | Caroline E Marcotte | Nurse Practitioner | 5 Mark Twain Ct, North Liberty, IA 52317-9675 | 2020-09-02 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1053942789 | Marcia Hester | Nurse Practitioner | 969 E St, Conroy, IA 52220-7701 | 2020-01-31 |
| 1265910939 | Barbara Ann Peterson | Nurse Practitioner | 613 E Bloomington St Ste 100, Iowa City, IA 52245-2601 | 2018-08-03 |
| 1700398377 | Eve Sheehan | Nurse Practitioner | 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 | 2017-11-03 |
| 1356865042 | Peggy Sue Deboer | Nurse Practitioner | 1200 Tri View Ave, Sioux City, IA 51103-4900 | 2017-08-03 |
| 1962855148 | Marsan Klein | Nurse Practitioner | 2930 E Euclid Ave, Des Moines, IA 50317-3840 | 2016-07-22 |
| 1366815391 | Chelsey Zitelman | Nurse Practitioner | 110 King St, Fayette, IA 52142-9735 | 2015-11-13 |
| 1447680848 | Mindy Jo Roberts | Nurse Practitioner | 2600 Dodge St Ste D4, Dubuque, IA 52003-7161 | 2013-11-21 |
| Find all providers with the same taxonomy | ||||
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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.