SHAYLA RAE (NPI# 1942713888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942713888 |
Entity Type | Individual |
Full Name | SHAYLA RAE |
Credential | ARNP |
Practice Address |
931 Pennsylvania Ave Ottumwa IA 52501-2138 |
Mailing Address |
1101 Wedgewood Cir Fairfield IA 52556-3885 |
Practice Telephone | 6416828761 |
Mailing Telephone | 6414724156 |
Enumeration Date | 2017-11-14 |
Last Update Date | 2019-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 131158 | IA | Nursing Service Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F131158 | IA | Physician Assistants & Advanced Practice Nursing Providers |
N | 367A00000X | Advanced Practice Midwife | B131158 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2000 S Main St, Fairfield, IA 525569572 | 6419198889 |
Street Address |
931 PENNSYLVANIA AVE |
City | OTTUMWA |
State | IA |
Zip Code | 52501-2138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235138801 | John David Wilson | Pediatrics | 931 Pennsylvania Ave, Ottumwa Pediatrics, Ottumwa, IA 52501 | 2005-07-18 |
1295017184 | Laurie L Glover | Nurse Practitioner | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2011-09-15 |
1306830070 | Gregory Wayne Titus | Registered Nurse | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2005-09-08 |
1760475370 | Donalee Wilkins Foster | Pediatrics | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2005-08-30 |
1396738902 | Mary L Graeff | Pediatrics | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
Find all providers in zip 52501 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497914758 | Jacqueline Kay Greenfield | Nurse Practitioner | 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 | 2008-06-03 |
1326392259 | Laura A Waddell | Nurse Practitioner | 1005 Pennsylvania Ave, Ste. 204, Ottumwa, IA 52501-6413 | 2012-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023399011 | Tassie Ann Carter | Nurse Practitioner | 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 | 2011-09-02 |
1225317183 | Planned Parenthood of The Heartland | Nurse Practitioner | 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 | 2011-08-10 |
1336428291 | Planned Parenthood of The Heartland | Nurse Practitioner | 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 | 2011-08-10 |
1992083190 | Planned Parenthood of The Heartland | Nurse Practitioner | 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 | 2011-07-22 |
1700020203 | Lindsey J Keonin | Nurse Practitioner | 2304 University Avenue, Des Moines, IA 50311-4316 | 2009-04-28 |
1710003454 | Julie A Thompson | Nurse Practitioner | 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 | 2007-03-22 |
1730219742 | Planned Parenthood of The Heartlan | Nurse Practitioner | 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 | 2007-03-07 |
1790841161 | Nina Rae Cullinan | Nurse Practitioner | 727 N West St, Carroll, IA 51401-2348 | 2006-12-29 |
1902974538 | Lylia Jean Poland | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2006-12-01 |
1861560708 | Margaret Ann Beatty | Nurse Practitioner | 918 E 9th St, Spencer, IA 51301-4746 | 2006-11-30 |
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.