NICOLE DORA MCCLAVY (NPI# 1053963900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053963900 |
| Entity Type | Individual |
| Full Name | NICOLE DORA MCCLAVY |
| Credential | PMHNP-BC |
| Practice Address |
610 10th St, Perry, Ia 50220 Perry IA 50220 |
| Mailing Address |
4037 11th Pl Des Moines IA 50313-3232 |
| Practice Telephone | 5154657541 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G155000 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
610 10TH ST, PERRY, IA 50220 |
| City | PERRY |
| State | IA |
| Zip Code | 50220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405897 | Tanna Corrigan | Technician | 2628 Marengo Dr, Perry, IA 50220 | 2019-09-09 |
| 1881816882 | Rachel Fazio | Occupational Therapist | 2625 Iowa St, Perry, IA 50220 | 2007-05-02 |
| 1558485151 | Angela Faye Hansen-abbas | Occupational Therapist | 161 315th Street, Perry, IA 50220 | 2007-03-19 |
| 1356405658 | Eye Care Associates PC | Optometrist | 1313 2nd St., Perry, IA 50220 | 2006-12-20 |
| 1962591800 | Nabil Nakhla Faltas | Radiology | 610 10th Street, Dallas Co Hospital, Perry, IA 50220 | 2006-10-11 |
| 1508959172 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 10th St Ste L100, Perry, IA 50220 | 2006-10-02 |
| 1790702207 | Todd R Miller | Podiatrist | 612 10th St, Perry, IA 50220 | 2006-07-17 |
| 1750349411 | Chad M Kuehl | Physical Therapist | 610 10t St, Perry, IA 50220 | 2006-05-03 |
| 1942672563 | Ronda Hemann | Counselor | 610 10th Street, Perry, IA 50220 | 2015-10-22 |
| 1336353218 | Daniel David Finn II | Dentist | 2605 Iowa St, Perry, IA 50220 | 2007-05-09 |
| Find all providers in zip 50220 | ||||
| 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 |
|---|---|---|---|---|
| 1619917317 | Sharon L Scandrett | Nurse Practitioner | 610 10th St, Perry, IA 50220-2221 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| 1326526641 | Transcend Mind-body Wellness & Floatation Clinic LLC | Nurse Practitioner | 409 Washington St Ste D, Cedar Falls, IA 50613 | 2018-07-30 |
| 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.