LARRY D LIEB (NPI# 1972560779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972560779 |
| Entity Type | Individual |
| Full Name | LARRY D LIEB |
| Credential | CRNA ARNP |
| Practice Address |
1301 W Main St Lake City IA 51449-1585 |
| Mailing Address |
225 W Randall Rd Carroll IA 51401-3601 |
| Practice Telephone | 7124643171 |
| Practice Fax Number | 7124647412 |
| Mailing Telephone | 7127921004 |
| Mailing Fax Number | 7127924100 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | D-059739 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | CSA | 5200063 | 01 |
| DEA LICENSE | ML0159271 | 01 | |
| IA | CRNA LICENSE | D-059739 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417239963 | Larry Lieb | Pathology | 1921 Lowland Ct, Carmichael, CA 95608-5730 | 2011-09-11 |
| Street Address |
1301 W MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1518567056 | Katie Mogensen | Registered Nurse | 1301 W Main St, Lake City, IA 51449-1585 | 2020-10-26 |
| 1427607795 | Marie A Drey | Occupational Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1811546104 | Courtney L Bostwick | Speech-Language Pathologist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1871142158 | Lisa A Poppen-findley | Occupational Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1154979557 | Branden M Roberts | Physical Medicine & Rehabilitation | 1301 W Main St, Lake City, IA 51449-1585 | 2019-08-28 |
| 1033677729 | Luke A Larson | Physical Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-03-12 |
| 1306377296 | Megan M Huster | Registered Nurse | 1301 W Main St, Lake City, IA 51449-1585 | 2017-03-23 |
| 1215477211 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 1301 W Main St, Lake City, IA 51449-1585 | 2017-02-24 |
| 1811384050 | Martha Huser | Pharmacist | 1301 W Main St, Lake City, IA 51449-1585 | 2015-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| 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 |
|---|---|---|---|---|
| 1518584606 | Caroline Witt Nettles | Nurse Practitioner | 228 Nw Ranch Ct, Lake City, FL 32055-8922 | 2020-07-06 |
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1942321575 | Tracie Ledora Mitchem-green | Nurse Practitioner | 295 Nw Commons Loop # 115-105, Lake City, FL 32055-7721 | 2007-04-02 |
| 1366477002 | Mary Ellen Mclendon | Nurse Practitioner | 160 Se Saint Johns St, Lake City, FL 32025-4491 | 2006-07-11 |
| 1366471914 | Vida V Umstead | Nurse Practitioner | 4225 Nw American Ln, Lake City, FL 32055-8841 | 2006-07-03 |
| 1689654584 | Ira Lee | Nurse Practitioner | 777 W Duval St, Lake City, FL 32055-5806 | 2006-01-18 |
| 1346249406 | Matthew Neil Melvin | Nurse Practitioner | 1847 Sw Barnett Way, Lake City, FL 32025-6957 | 2005-07-20 |
| 1922007475 | Colleen A Thompson | Nurse Practitioner | 4196 W Us Highway 90, Ste 105, Lake City, FL 32055-8833 | 2005-07-18 |
| Find all providers in LAKE CITY | ||||
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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.