SHAYLA RAE


Address: 931 Pennsylvania Ave, Ottumwa, IA 52501-2138
Phone: 6416828761

SHAYLA RAE (NPI# 1942713888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2000 S Main St, Fairfield, IA 525569572 6419198889

Office Location

Street Address 931 PENNSYLVANIA AVE
City OTTUMWA
State IA
Zip Code 52501-2138

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City OTTUMWA
Zip Code 52501

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Dataset Information

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.

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