MR. MARK THOMAS HABERER (NPI# 1073737078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073737078 |
| Entity Type | Individual |
| Full Name | MR. MARK THOMAS HABERER |
| Credential | LPN |
| Practice Address |
3251 W 9th St Waterloo IA 50702-5310 |
| Practice Telephone | 3192342893 |
| Practice Fax Number | 3192340354 |
| Mailing Telephone | 3192342893 |
| Mailing Fax Number | 3192340354 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P48603 | IA | Nursing Service Providers |
| Street Address |
3251 W 9TH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944598 | Black Hawk-grundy Mental Health Center Inc. | Clinic/Center | 3251 W 9th St, Waterloo, IA 50702-5310 | 2005-07-05 |
| 1194334813 | Samuel Rasmussen | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2020-07-28 |
| 1528605367 | Jennifer Elisabeth Meether | Psychiatry & Neurology | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-11-27 |
| 1972153278 | Erika Bandilla | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-09-18 |
| 1912556408 | Carly Pollock | Counselor | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-09-06 |
| 1164075313 | Kelsey Ostendorf | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-07-17 |
| 1891357117 | Kelsey Elfritz | Counselor | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-07-08 |
| 1649839481 | Deanna Shafer | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-06-06 |
| 1750845954 | Stephanie Anne Giesler | Student in an Organized Health Care Education/Training Program | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-01-22 |
| 1225506066 | Renee Barbu | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2018-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699335141 | Stephanie Lynne Leddy | Licensed Practical Nurse | 3815 Yost Rd, Waterloo, NY 13165-9771 | 2019-06-17 |
| 1346777612 | Kelly Marie Labouf | Licensed Practical Nurse | 393 Wagner St Lot 81, Waterloo, NY 13165-6709 | 2017-05-17 |
| 1336683192 | Christine A Statom | Licensed Practical Nurse | 10457 Highway 221 S, Waterloo, SC 29384-3910 | 2016-12-14 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
| 1346629425 | Shannon Bailey-bradley | Licensed Practical Nurse | 119 Stark St, Waterloo, NY 13165-8797 | 2015-05-22 |
| 1528485315 | Christine Elizabeth Butzine | Licensed Practical Nurse | 1020 Portland Rd, Waterloo, WI 53594-9705 | 2014-03-18 |
| 1538433883 | Denise M Harris | Licensed Practical Nurse | 71 E River St, Waterloo, NY 13165-1737 | 2012-03-05 |
| 1659655348 | Kimberly Elaine Cohens | Licensed Practical Nurse | 402 Railroad Ave, Waterloo, NY 13165-1004 | 2011-09-29 |
| 1467746610 | Rebecca L Christian | Licensed Practical Nurse | 184 County Road Tv, Waterloo, WI 53594-9503 | 2011-06-06 |
| Find all providers in WATERLOO | ||||
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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.