JENNIFER L MOCKUS (NPI# 1184167108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184167108 |
| Entity Type | Individual |
| Full Name | JENNIFER L MOCKUS |
| Credential | ARNP |
| Practice Address |
411 Laurel St Ste 1225 Des Moines IA 50314-3017 |
| Mailing Address |
Po Box 9170 Des Moines IA 50306-9170 |
| Practice Telephone | 5156333770 |
| Practice Fax Number | 5152886713 |
| Mailing Telephone | 5156333600 |
| Mailing Fax Number | 5156333838 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
H090670 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Laurel St, Suite A250, Des Moines, IA 503143017 | 5152355000 | 5152886713 |
| Street Address |
411 LAUREL ST STE 1225 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808185 | Jennifer L. Goerbig-campbell | Internal Medicine | 411 Laurel St Ste 1225, Des Moines, IA 50314-3017 | 2006-07-24 |
| 1750602041 | Akrivi Manola | Internal Medicine | 411 Laurel St Ste 1225, Des Moines, IA 50314-3017 | 2010-06-21 |
| 1760623144 | Christos Michael Kassiotis | Internal Medicine | 411 Laurel St Ste 1225, Des Moines, IA 50314-3017 | 2009-03-16 |
| 1013107291 | Ravinder Kumar | Internal Medicine | 411 Laurel St Ste 1225, Des Moines, IA 50314-3017 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961476 | Candice Gruss | Nurse Practitioner | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532777 | Maria R Hawkins | Nurse Practitioner | 714 Jennings St, Sioux City, IA 51105-1920 | 2020-09-10 |
| 1578174975 | Brittany Mae Vondrak | Nurse Practitioner | 23181 C60, Hinton, IA 51024-9038 | 2020-08-11 |
| 1881203933 | Jennifer Rucker | Nurse Practitioner | 1775 Randall Pl, Dubuque, IA 52003-7282 | 2020-07-24 |
| 1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
| 1104335496 | Amy Waterman | Nurse Practitioner | 118 North 7th Avenue, Sheldon, IA 51201 | 2017-09-29 |
| 1962923417 | Jody Lynn Horstman | Nurse Practitioner | 1089 Jordan Creek Pkwy Ste 116, West Des Moines, IA 50266-5829 | 2017-07-05 |
| 1558728030 | Cameron Elizabeth Broihier | Nurse Practitioner | 3211 S 26th Ave, Eldridge, IA 52748-9304 | 2016-01-28 |
| 1558333708 | Debra K Ladd | Nurse Practitioner | 2419 2nd Ave N., Fort Dodge, IA 50501 | 2006-02-02 |
| 1306843818 | Jamie L Hicks | Nurse Practitioner | 1004 21st St Unit 2, Milford, IA 51351-7421 | 2005-06-30 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on JENNIFER L MOCKUS.
| 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.