KELLY SUE MCMAHON (NPI# 1013987189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013987189 |
| Entity Type | Individual |
| Full Name | KELLY SUE MCMAHON |
| Credential | N.P. |
| Practice Address |
1075 Cedar Cross Rd Ste 1 Dubuque IA 52003-7748 |
| Practice Telephone | 5635821000 |
| Practice Fax Number | 5635821113 |
| Mailing Telephone | 5635821000 |
| Mailing Fax Number | 5635821113 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7461-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
087220 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
087220 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0433433 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Women's Wellness Center, PC, 777 Mazzuchelli Place, Dubuque, IA 52001 | 5635880011 | 5635880595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146265 | Kelly Patrice Mcmahon | Internal Medicine | 5700 Corporate Dr, Suite 410, Pittsburgh, PA 15237-5861 | 2005-07-07 |
| 1417517152 | Kelly Lorraine Mcmahon | Student in an Organized Health Care Education/Training Program | 1305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-06-14 |
| 1932767027 | Kelly Elizabeth Mcmahon | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2019-06-03 |
| 1437606142 | Kelly Mcmahon | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2016-09-10 |
| 1568873255 | Kelly Querfurth Mcmahon | Genetic Counselor, MS | 601 Elmwood Ave, University of Rochester Medical Center Child Neurology, Rochester, NY 14642-0001 | 2014-05-15 |
| 1487064903 | Kelly Ann Mcmahon | Speech-Language Pathologist | 1101 B Gale Wilson Blvd, Attn: Rehab Department, Fairfield, CA 94533-3700 | 2014-05-06 |
| Street Address |
1075 CEDAR CROSS RD STE 1 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52003-7748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164989174 | Epic Health and Wellness PC | Clinic/Center | 1075 Cedar Cross Rd Ste 1, Dubuque, IA 52003-7748 | 2019-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839691 | Steven Anthony Link | Pharmacist | 400 S Locust, Dubuque, IA 52003 | 2020-04-05 |
| 1336703057 | Braces By Abbadent, LLC | Dentist | 3430 Dodge St., Suite 19, Dubuque, IA 52003 | 2019-04-29 |
| 1689172751 | Statera LLC | Clinic/Center | 3375 Lake Ridge Drive, Dubuque, IA 52003 | 2018-01-24 |
| 1083962401 | Megan M Gross | Registered Nurse | 3375 Lake Ridge Dr., Dubuque, IA 52003 | 2012-08-15 |
| 1790067320 | Open Arms Home Health Care LLC | Home Health | 3390 Lake Ridge Drive, Dubuque, IA 52003 | 2011-09-09 |
| 1073539375 | Key West Fire and Ems Association | Ambulance | 10640 Lake Eleanor Road, Dubuque, IA 52003 | 2006-07-14 |
| 1124054283 | Jennifer Rebecca Klein | Chiropractor | 2254 Flint Hill Drive, #1, Dubuque, IA 52003 | 2006-06-23 |
| 1780647586 | Dawnelle Marie-vargas Gordon | Nurse Practitioner | 1023 Shady Oaks Dr, Dubuque, IA 52003 | 2006-04-11 |
| 1942287875 | Thomas J King IIi | Dentist | 100 Bryant St, Dubuque, IA 52003 | 2005-12-30 |
| 1013960566 | Peter Joseph Szeibel | Psychiatry & Neurology | 1015 Valentine Dr, Dubuque, IA 52003-0212 | 2006-05-18 |
| Find all providers in zip 52003 | ||||
| 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 |
|---|---|---|---|---|
| 1083931570 | Catherine E Hermsen | Nurse Practitioner | 1670 Jfk Rd, Dubuque, IA 52002-5106 | 2010-04-23 |
| 1508018425 | Constance Marie Wessels | Nurse Practitioner | 1734 Carriage Hill Ct, Dubuque, IA 52003-8584 | 2008-10-22 |
| 1245298934 | Women's Wellness Center, PC | Nurse Practitioner | 777 Mazzuchelli Pl, Dubuque, IA 52001-7359 | 2006-05-02 |
| 1780647586 | Dawnelle Marie-vargas Gordon | Nurse Practitioner | 1023 Shady Oaks Dr, Dubuque, IA 52003 | 2006-04-11 |
| 1437128659 | Julie Muenster | Nurse Practitioner | 1940 Elm St, Dubuque, IA 52001-3641 | 2006-03-17 |
| 1235757261 | Emily Burgmeier May | Nurse Practitioner | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-07-07 |
| 1619592300 | Barry Family Practice | Nurse Practitioner | 1394 Locust St, Dubuque, IA 52001-4781 | 2020-06-09 |
| 1487183281 | Karena Anne Sauser | Nurse Practitioner | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-06-06 |
| 1124497805 | Megan Reisch | Nurse Practitioner | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2015-09-23 |
| 1225430077 | Brooke Lyons | Nurse Practitioner | 200 Mercy Dr, Suite 201, Dubuque, IA 52001-7303 | 2014-09-24 |
| Find all providers in DUBUQUE | ||||
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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.