LAURA QUINNETTE (NPI# 1922458959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922458959 |
| Entity Type | Individual |
| Full Name | LAURA QUINNETTE |
| Credential | PA-C |
| Practice Address |
1701 W Broadway Council Bluffs IA 51501-3822 |
| Practice Telephone | 7122565600 |
| Practice Fax Number | 7122563440 |
| Mailing Telephone | 7122565600 |
| Mailing Fax Number | 7122563440 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
083173 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 W BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1689121246 | Alexandra Lynn Thomas | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2016-09-01 |
| 1538518311 | Laura Rose Badalucco | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2016-06-13 |
| 1457742587 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1538518311 | Laura Rose Badalucco | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2016-06-13 |
| 1457742587 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-11 |
| 1487783270 | Jill Renee Sobczyk | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2007-03-05 |
| 1447356936 | Alan J Pokorski | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2006-09-15 |
| 1316995343 | Jenni M. Haan | Physician Assistant | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| 1235251034 | Von L Miller | Physician Assistant | 6000 University Ave Lakeview Medical Park, Suite 124, West Des Moines, IA 50266 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
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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.