MRS. MISTY DAWN GILLETTE (NPI# 1952838666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952838666 |
| Entity Type | Individual |
| Full Name | MRS. MISTY DAWN GILLETTE |
| Other Name | MS. MISTY DAWN GRADE |
| Credential | BA, CADC |
| Practice Address |
310 W. Main St Ottumwa IA 52501 |
| Mailing Address |
P.o. Box 658 Ottumwa IA 52501 |
| Practice Telephone | 6416836747 |
| Practice Fax Number | 6416836317 |
| Mailing Telephone | 6416836747 |
| Mailing Fax Number | 6416836317 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16187 | IA | Behavioral Health & Social Service Providers |
| Street Address |
310 W. MAIN ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750363263 | Kimberley S Kelly | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2005-11-18 |
| 1679130967 | Kirby Rowl | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2019-05-22 |
| 1639648843 | Amanda Rae Mason | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2018-11-16 |
| 1124597455 | Erin Taft | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2018-11-15 |
| 1477043099 | Bethany Canny | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2018-05-18 |
| 1700382082 | Seth Bell | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2018-04-04 |
| 1134641954 | Benjamin Lee Wyldes | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2017-07-13 |
| 1205363983 | Lynette Sue Heaton | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2017-05-12 |
| 1013444793 | Lori Lee Grim | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2017-05-12 |
| 1093242778 | Mark Gillman | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2017-05-12 |
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| 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 Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396711768 | Southern Iowa Economic Development Association | Counselor | 226 W Main St, Ottumwa, IA 52501-2520 | 2006-02-27 |
| 1679130967 | Kirby Rowl | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2019-05-22 |
| 1528520525 | Mindy Jo Davidson | Counselor | 102 N Hancock St, Ottumwa, IA 52501-4648 | 2019-04-01 |
| 1962968263 | Michelle Stockwell | Counselor | 1527 Albia Rd, Ottumwa, IA 52501-3907 | 2019-02-12 |
| 1437614708 | Cathy Pringle-maletta | Counselor | 102 N Hancock St, Ottumwa, IA 52501-4648 | 2019-01-31 |
| 1609331974 | Harmony Hols | Counselor | 102 N Hancock St, Ottumwa, IA 52501-4648 | 2019-01-31 |
| 1922563295 | Dawn Woods | Counselor | 102 N Hancock St, Ottumwa, IA 52501-4648 | 2019-01-31 |
| 1265901060 | Michelle Weeks | Counselor | 1527 Albia Rd, Ottumwa, IA 52501-3907 | 2018-11-21 |
| 1639648843 | Amanda Rae Mason | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2018-11-16 |
| 1124597455 | Erin Taft | Counselor | 310 W. Main St, Ottumwa, IA 52501 | 2018-11-15 |
| Find all providers in OTTUMWA | ||||
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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.