BONNIE DUFAULT (NPI# 1023667995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023667995 |
| Entity Type | Individual |
| Full Name | BONNIE DUFAULT |
| Practice Address |
2402 West Euclid Ave Indiana IA 50125 |
| Practice Telephone | 2253157572 |
| Mailing Telephone | 2253157572 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
2402 WEST EUCLID AVE |
| City | INDIANA |
| State | IA |
| Zip Code | 50125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| 1619947199 | City of Indianola | Ambulance | 110 N First, Indianola, IA 50125 | 2006-01-25 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375162 | Bette Lou Burke | Technician | 1464 255th St, Donnellson, IA 52625-9670 | 2020-10-26 |
| 1427660174 | Salve Bual Mclaughlin | Technician | 2079 Garfield Ave, Dubuque, IA 52001-1409 | 2020-08-22 |
| 1306469168 | Michaella Marie Power | Technician | 401 Se Q St, Apt 31, Leon, IA 50144 | 2020-05-27 |
| 1427671692 | Victoria Marie Severson | Technician | 705 Circle Dr, Rolfe, IA 50581-1029 | 2020-05-22 |
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1801422902 | Eric Scott Lund | Technician | 1011 N Jefferson Way Ste 200, Indianola, IA 50125-1499 | 2020-03-20 |
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1114565389 | Kristan Weiss | Technician | 2824 W Locust St, Davenport, IA 52804-3340 | 2019-12-18 |
| 1588202261 | Kathleen M.s. Lucas | Technician | 32335 Old Lincoln Hwy, Missouri Valley, IA 51555-6027 | 2019-12-13 |
| 1366084675 | Jenna Allen | Technician | 705 Circle Drive, Rolfe, IA 50581 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
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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.