EVANS KOMEN (NPI# 1003216839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003216839 |
| Entity Type | Individual |
| Full Name | EVANS KOMEN |
| Credential | DNP,PMHNP-BC |
| Practice Address |
2750 Saint Francis Dr Waterloo IA 50702-5644 |
| Practice Telephone | 3192728922 |
| Practice Fax Number | 3192728929 |
| Mailing Telephone | 3192728922 |
| Mailing Fax Number | 3192728929 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G119281 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2750 SAINT FRANCIS DR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448128 | Christopher L Eagan | Orthopaedic Surgery | 2750 Saint Francis Dr, Ste 319, Waterloo, IA 50702-5644 | 2006-05-26 |
| 1225400872 | Jennifer Schmudlach | Social Worker | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2015-10-22 |
| 1922405653 | Christine Ewald | Counselor | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2014-11-24 |
| 1013115369 | Bobbita Nag | Psychiatry & Neurology | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2007-07-10 |
| 1144325648 | Nan L Ambrosy | Nurse Practitioner | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2006-09-13 |
| 1407884331 | Mervin M. Carnahan | Social Worker | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2006-06-29 |
| 1851329296 | Sunita Kantamneni | Psychiatry & Neurology | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2006-06-28 |
| 1497783625 | Daniel L Ekstrom | Psychologist | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2006-06-28 |
| 1639115108 | Carollyn E Hartsfield | Social Worker | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2006-06-21 |
| 1770528853 | Laura K Rasmussen | Social Worker | 2750 Saint Francis Dr, Waterloo, IA 50702-5644 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
| 1962025767 | Abby Staudt | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-27 |
| 1700366101 | Kelly Scheffert | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2018-08-16 |
| 1255823506 | Nicole Delagardelle | Nurse Practitioner | 3251 W 9th St, Waterloo, IA 50702 | 2018-06-02 |
| 1962999672 | Merve Akova | Nurse Practitioner | 146 W Dale St Ste 101, Waterloo, IA 50703-1901 | 2018-04-18 |
| 1932652757 | Kelsie Swisher | Nurse Practitioner | 3251 W 9th St, Waterloo, IA 50702-5310 | 2016-07-28 |
| 1154637692 | Joellen Cizek Kubik | Nurse Practitioner | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 | 2010-08-22 |
| 1598907545 | Michele D Moldrem | Nurse Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298 | 2009-04-06 |
| 1013115757 | Dianna Kay Magginetti | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2007-07-03 |
| 1023178548 | Dieter J Boxmann | Nurse Practitioner | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 | 2006-12-12 |
| 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.