CHILD PROTECTION RESPONSE CENTER (NPI# 1912281940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912281940 |
| Entity Type | Organization |
| Organization Name | CHILD PROTECTION RESPONSE CENTER |
| Practice Address |
1230 E Rusholme St Mob2, Lower Level, Suite 1 Davenport IA 52803-2452 |
| Mailing Address |
865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 |
| Practice Telephone | 5634217160 |
| Practice Fax Number | 5634217161 |
| Mailing Telephone | 5633559200 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | BARBARA A. HARRE (DIRECTOR) |
| Authorized Official Telephone | 5634217160 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080C0008X |
Pediatrics Specialization: Child Abuse Pediatrics |
26138 | IA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CHILD PROTECTION RESPONSE CENTER | 415 E George Washington Blvd, Davenport, IA 52803 |
| Street Address |
1230 E RUSHOLME ST MOB2, LOWER LEVEL, SUITE 1 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902339 | Nancy J Agnew | Nurse Practitioner | 1230 E Rusholme St, Ste 301, Davenport, IA 52803-2400 | 2005-06-14 |
| 1023463890 | Caitlin J Wilson | Physician Assistant | 1230 E Rusholme St, Suite 150, Davenport, IA 52803-2452 | 2016-04-29 |
| 1770971038 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2452 | 2015-01-08 |
| 1154643260 | France B Many | Nurse Practitioner | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2010-02-17 |
| 1194957449 | Jody J Kealey | Dietitian, Registered | 1230 E Rusholme St, Suite 305, Davenport, IA 52803-2452 | 2009-08-20 |
| 1952567794 | Quad Cities Retina Consultants | Ophthalmology | 1230 E Rusholme St, Suite 107, Davenport, IA 52803-2400 | 2008-07-31 |
| 1518124841 | Amanda L Bailey | Optometrist | 1230 E Rusholme St, Ste 203, Davenport, IA 52803-2400 | 2008-05-22 |
| 1861508004 | Genesis Health System | Obstetrics & Gynecology | 1230 E Rusholme St, Davenport, IA 52803-2400 | 2006-08-21 |
| 1154357416 | Internal Medicine Associates Prof Corp | Internal Medicine | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2006-06-25 |
| 1982654349 | Barbara Ann Harre | Pediatrics | 1230 E Rusholme St, Bldg. 2 Ll 01, Davenport, IA 52803-2400 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 2080C0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Child Abuse Pediatrics |
| A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. |
| Notes: Source: American Board of Medical Specialties, 2009 [7/1/2009: definition added] |
Please comment or provide details below to improve the information on CHILD PROTECTION RESPONSE CENTER.
| 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.