MARY ELLEN DEUTMEYER (NPI# 1932581881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932581881 |
| Entity Type | Individual |
| Full Name | MARY ELLEN DEUTMEYER |
| Credential | A.R.N.P |
| Practice Address |
945 Tower Park Dr Waterloo IA 50701-9098 |
| Practice Telephone | 3192351230 |
| Practice Fax Number | 3192351229 |
| Mailing Telephone | 3192351230 |
| Mailing Fax Number | 3192351229 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
A096094 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
945 TOWER PARK DR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
| 1548892144 | Judee Marie Alexander | Social Worker | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2020-02-11 |
| 1326590480 | Keri Hayes | Pharmacist | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2016-10-25 |
| 1053787937 | Stephanie Rae Beenken | Dietitian, Registered | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2015-08-14 |
| 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 | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407258130 | Lois Pirozek | Clinical Nurse Specialist | 1404 34th St., Sioux City, IA 51104-1404 | 2014-09-25 |
| 1437449758 | Lisa Mae Jones | Clinical Nurse Specialist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2011-04-08 |
| 1356505176 | Pamela A. Terrill | Clinical Nurse Specialist | 200 Hawkins Dr, Int Med; Sw34 Gh, Iowa City, IA 52242-1009 | 2008-07-10 |
| 1093990517 | Denise W Gossett | Clinical Nurse Specialist | 301 E 4th St, Villisca, IA 50864-1146 | 2008-01-03 |
| 1215125216 | Rebecca E Walding | Clinical Nurse Specialist | 3549 Southern Hills Dr, Sioux City, IA 51106-4736 | 2007-10-04 |
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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.