MR. DIETER J BOXMANN


Address: 146 W Dale St, Suite 101, Waterloo, IA 50703-1901
Phone: 3192333351

MR. DIETER J BOXMANN (NPI# 1023178548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023178548
Entity Type Individual
Full Name MR. DIETER J BOXMANN
Credential ARNP
Practice Address 146 W Dale St
Suite 101
Waterloo
IA 50703-1901
Practice Telephone 3192333351
Practice Fax Number 3192333132
Mailing Telephone 3192333351
Mailing Fax Number 3192333132
Enumeration Date 2006-12-12
Last Update Date 2017-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP-01806 NM Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
G081078 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 146 W DALE ST
SUITE 101
City WATERLOO
State IA
Zip Code 50703-1901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366428559 Hridendra N Basu Internal Medicine 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 2005-12-20
1083077465 Karlea J Norby Advanced Practice Midwife 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 2016-04-01
1588047021 Kimberlee Kay Borneman Advanced Practice Midwife 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 2015-07-01
1801211693 Jessica Frana Nurse Practitioner 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 2014-03-03
1578828406 Breanna C. Herring Advanced Practice Midwife 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 2012-07-06
1700149366 Ahmad A Alwassia Internal Medicine 146 W Dale St, Suite 203, Waterloo, IA 50703-1901 2012-06-19
1093076671 Vara Venkata Padma Kamala Kumari Ponnada Family Medicine 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 2012-05-31
1154637692 Joellen Cizek Kubik Nurse Practitioner 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 2010-08-22
1295058113 Angela Mae Woods Social Worker 146 W Dale St, Ste 101, Waterloo, IA 50703-1901 2010-03-05
1942455746 Jayachandra Babu Vavilathota Student in an Organized Health Care Education/Training Program 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 2008-11-20
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Providers in the same zip code

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
1689158040 Megan Elizabeth O'neal Nurse Practitioner 1631 Logan Ave, Waterloo, IA 50703 2018-09-21
1972031359 Stephanie Rose Smith Nurse Practitioner 1631 Logan Ave, Waterloo, IA 50703 2017-05-30
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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1003216839 Evans Komen Nurse Practitioner 2750 Saint Francis Dr, Waterloo, IA 50702-5644 2014-08-29
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
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Competitor

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City WATERLOO
Zip Code 50703

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Dataset Information

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.

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