STEPHANIE ROSE SMITH (NPI# 1972031359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972031359 |
| Entity Type | Individual |
| Full Name | STEPHANIE ROSE SMITH |
| Credential | ARNP |
| Practice Address |
1631 Logan Ave Waterloo IA 50703 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3198335381 |
| Mailing Telephone | 3192355390 |
| Mailing Fax Number | 3192355607 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A133352 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 164 W Dale St, Waterloo, IA 507031925 | 3198335381 | 3198335386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118362 | Stephanie Malika Smith | Speech-Language Pathologist | 1041 Rabon Pond Dr, Columbia, SC 29223-5866 | 2020-09-11 |
| 1215577952 | Stephanie Joy Smith | Specialist/Technologist | 12775 Stockdale Highway, Bakersfield, CA 93314 | 2020-01-10 |
| 1578123238 | Stephanie Smith | Doula | 7504 Pinnacle Pl Se, Snoqualmie, WA 98065-8981 | 2019-06-15 |
| 1487114559 | Stephanie D Smith | Registered Nurse | 921 Gibson St, Titusville, FL 32780-7721 | 2019-03-23 |
| 1144786583 | Stephanie Lynn Smith | Dietitian, Registered | 4375 Fair Lakes Ct, Fairfax, VA 22033-4234 | 2019-02-11 |
| 1427521533 | Stephanie Michelle Smith | Physician Assistant | 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 | 2019-01-10 |
| 1275016958 | Stephanie Grace Smith | Occupational Therapist | 267 Timberpoint Rd, East Islip, NY 11730-3319 | 2018-09-10 |
| 1801381546 | Stephanie Smith | Specialist/Technologist | 155 Miami St, Tiffin, OH 44883-2161 | 2018-06-26 |
| 1013408079 | Stephanie M Smith | Massage Therapist | 3613 Williams Dr Ste 1003, Georgetown, TX 78628-1376 | 2018-05-25 |
| 1871092429 | Stephanie Jill Smith | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-09 |
| Street Address |
1631 LOGAN AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992758163 | Mitchell Herman Fonley | Physical Therapist | 1631 Logan Ave, Waterloo, IA 50703-1237 | 2006-05-18 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1356789390 | Mark Gorsche | Orthopaedic Surgery | 1631 Logan Ave, Waterloo, IA 50703 | 2013-06-12 |
| 1851411532 | Robert Boyd Bartelt | Orthopaedic Surgery | 1631 Logan Ave, Waterloo, IA 50703 | 2007-03-29 |
| 1073567624 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 1631 Logan Ave, Waterloo, IA 50703-1910 | 2006-05-19 |
| 1932152733 | Ray Joseph Harrington | Physical Therapist | 1631 Logan Ave, Waterloo, IA 50703-1237 | 2006-05-19 |
| 1568416196 | Thomas Stewart Gorsche | Orthopaedic Surgery | 1631 Logan Ave, Waterloo, IA 50703 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| 1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
| 1245655265 | Kathleen Medd | Nurse Practitioner | 419 E Donald St, Waterloo, IA 50703 | 2014-02-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183368 | Jene Michelle Beck | Nurse Practitioner | 111 Maryland Ave, Waterloo, IA 50701-4129 | 2020-01-08 |
| 1104340884 | Elisabeth M. Heying | Nurse Practitioner | 212 W Dale St Ste 102, Waterloo, IA 50703-1900 | 2017-08-03 |
| 1346609559 | Theresa Rae Borcherding | Nurse Practitioner | 1753 W Ridgeway Ave Ste 104, Waterloo, IA 50701-4588 | 2016-02-16 |
| 1659564664 | Physical Medicine & Rehabilitation Associates of Northeast Iowa Inc | Nurse Practitioner | 36 W Park Lane, Waterloo, IA 50701-5178 | 2007-08-22 |
| 1659312254 | Mary Ann Amend | Nurse Practitioner | 146 W Dale St Ste 201, Waterloo, IA 50703-1901 | 2006-06-08 |
| 1235182627 | Kari Nicole Haislet | Nurse Practitioner | 419 E Donald Street, Waterloo, IA 50703-1223 | 2006-05-18 |
| 1952362683 | Annette Christine Geary | Nurse Practitioner | 3812 Pheasant Ln, Waterloo, IA 50701-5200 | 2006-03-31 |
| 1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
| 1952935082 | Erica Alexandra Podhajsky | Nurse Practitioner | 419 E Donald St, Waterloo, IA 50703-1500 | 2020-02-27 |
| 1730712985 | Elizabeth Marie Smith | Nurse Practitioner | 367 E Main St Ste A, Waterloo, NY 13165-1643 | 2020-02-17 |
| Find all providers in WATERLOO | ||||
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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.