JUDITH K SPAHN (NPI# 1124073911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073911 |
| Entity Type | Individual |
| Full Name | JUDITH K SPAHN |
| Credential | APNP |
| Practice Address |
2162 W Kimberly Rd Davenport IA 52806-5368 |
| Practice Telephone | 5633887000 |
| Practice Fax Number | 5633887001 |
| Mailing Telephone | 5633887000 |
| Mailing Fax Number | 5633887001 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2838 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A084351 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209-001288 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | S90080 | 01 |
| RAILROAD MEDICARE | P00251727 | 01 | |
| TRICARE | S90080 | 01 | |
| HEALTH ALLIANCE | 106692 | 01 |
| Street Address |
2162 W KIMBERLY RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892868 | Adam Dane Bernard | Nurse Practitioner | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2020-08-19 |
| 1306235072 | Amana Medical Care, Inc. | Clinic/Center | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2015-01-17 |
| 1700166139 | Alyssa N Wislander | Nurse Practitioner | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992259642 | Heather M Hitesman | Nurse Practitioner | 1351 W. Central Park, Suite 3300, Davenport, IA 52804-1889 | 2016-08-11 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| 1982128435 | Lori Shannon Schwarm | Nurse Practitioner | 3385 Dexter Ct Ste 100, Davenport, IA 52807-3471 | 2017-07-26 |
| 1265980668 | Valerie Wold | Nurse Practitioner | 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 | 2016-09-14 |
| 1619228392 | Meredith Lee Hodgson | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2012-09-21 |
| 1649527045 | Emily Cathryn Maiers | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2012-08-06 |
| 1700166139 | Alyssa N Wislander | Nurse Practitioner | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2011-08-17 |
| 1720382542 | Julie Ann Shereda | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2011-01-08 |
| 1760792683 | Cynthia D Burkholder | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2010-10-13 |
| 1043523491 | Julia A Hull | Nurse Practitioner | 1351 W Central Park Ave, Suite 360, Davenport, IA 52804-1853 | 2010-07-14 |
| Find all providers in DAVENPORT | ||||
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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.