MRS. JESSICA CRANDALL (NPI# 1184135998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184135998 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA CRANDALL |
| Credential | ARNP - FNP |
| Practice Address |
1700 W Townline St Creston IA 50801-1054 |
| Practice Telephone | 6417827091 |
| Mailing Telephone | 6417827091 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A128627 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447650 | Jessica L Crandall | Dietitian, Registered | 7564 S Xenia Ct, Centennial, CO 80112-2730 | 2006-04-20 |
| 1902136799 | Jessica Crandall | Dietitian, Registered | 80 Seymour St, Hartford, CT 06102-8000 | 2009-12-30 |
| Street Address |
1700 W TOWNLINE ST |
| City | CRESTON |
| State | IA |
| Zip Code | 50801-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805062 | Greater Regional Medical Center | General Acute Care Hospital | 1700 W Townline St, Creston, IA 50801-1054 | 2005-07-20 |
| 1699387787 | Megan Rose Ng | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2020-08-19 |
| 1912542614 | Laura F Hagen | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2019-11-18 |
| 1710548581 | Leeann K Berg | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2019-06-24 |
| 1699259416 | Ryan David Denny | Audiologist | 1700 W Townline St, Creston, IA 50801-1054 | 2018-09-18 |
| 1780164996 | Megan D Birchard | Specialist/Technologist | 1700 W Townline St, Creston, IA 50801-1054 | 2018-08-16 |
| 1174014369 | Gina Michelle Latham | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2018-05-23 |
| 1346747193 | Chanda Lynn Moreland | General Practice | 1700 W Townline St, Creston, IA 50801-1054 | 2018-04-09 |
| 1164942371 | Adrianna Cleopatra Shuey | Internal Medicine | 1700 W Townline St, Creston, IA 50801-1054 | 2017-06-20 |
| 1326424904 | Laura L Cunningham | Physician Assistant | 1700 W Townline St, Creston, IA 50801-1054 | 2015-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
| 1578735452 | Homestead of Creston Operations LLC | Assisted Living Facility | 1709 West Prairie Street, Creston, IA 50801 | 2008-03-31 |
| 1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
| 1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
| 1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
| 1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
| 1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
| 1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
| 1578531877 | Crossroads Behavioral Health Services | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-10 |
| 1972540011 | James D Gerdes | Family Medicine | 1610 W Townline St, Creston, IA 50801 | 2006-05-31 |
| Find all providers in zip 50801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387787 | Megan Rose Ng | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2020-08-19 |
| 1912542614 | Laura F Hagen | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2019-11-18 |
| 1174014369 | Gina Michelle Latham | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2018-05-23 |
| 1689015729 | Elizabeth Marie Hensley | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2013-07-16 |
| 1073898474 | Crystal Jean Johnson | Nurse Practitioner | 1610 W Townline St, Creston, IA 50801-1066 | 2011-10-17 |
| 1497839252 | Kathleen Nicole Evans | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
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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.