JENNIFER BROCKWAY (NPI# 1053793612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053793612 |
| Entity Type | Individual |
| Full Name | JENNIFER BROCKWAY |
| Other Name | JENNIFER SCHWARZKOPF |
| Credential | DNP, ARNP |
| Practice Address |
520 10th Ave Ste 200 Coralville IA 52241-1910 |
| Practice Telephone | 3193582406 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H125368 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
H125368 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 10TH AVE STE 200 |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942345186 | Venugopal S Reddiar | Internal Medicine | 520 10th Ave Ste 200, Coralville, IA 52241-1923 | 2007-02-21 |
| 1750996708 | Kelsey Guyette | Social Worker | 520 10th Ave Ste 200, Coralville, IA 52241-1910 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407280654 | Amanda Jean Pitts | Nurse Practitioner | 105 E 9th St, Coralville, IA 52241-2209 | 2013-08-23 |
| 1740421304 | Rachel Marie Headings | Nurse Practitioner | 105 E 9th St, Coralville, IA 52241-2209 | 2009-03-11 |
| 1982883336 | Claudette J Heddens | Nurse Practitioner | 501 12th Ave, Suite 102, Coralville, IA 52241-1774 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414004 | Daniel Timothy Holthaus | Nurse Practitioner | 1403 Mckinley Pl, Iowa City, IA 52246-4142 | 2020-10-12 |
| 1942814462 | Caroline E Marcotte | Nurse Practitioner | 5 Mark Twain Ct, North Liberty, IA 52317-9675 | 2020-09-02 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1053942789 | Marcia Hester | Nurse Practitioner | 969 E St, Conroy, IA 52220-7701 | 2020-01-31 |
| 1265910939 | Barbara Ann Peterson | Nurse Practitioner | 613 E Bloomington St Ste 100, Iowa City, IA 52245-2601 | 2018-08-03 |
| 1700398377 | Eve Sheehan | Nurse Practitioner | 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 | 2017-11-03 |
| 1356865042 | Peggy Sue Deboer | Nurse Practitioner | 1200 Tri View Ave, Sioux City, IA 51103-4900 | 2017-08-03 |
| 1962855148 | Marsan Klein | Nurse Practitioner | 2930 E Euclid Ave, Des Moines, IA 50317-3840 | 2016-07-22 |
| 1366815391 | Chelsey Zitelman | Nurse Practitioner | 110 King St, Fayette, IA 52142-9735 | 2015-11-13 |
| 1942686811 | Cindy Ann Grow | Nurse Practitioner | 45 W Jefferson St Apt 318, Waterloo, IA 50701-1331 | 2015-08-03 |
| Find all providers with the same taxonomy | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
Please comment or provide details below to improve the information on JENNIFER BROCKWAY.
| 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.