STEPHANIE MERRILL (NPI# 1265051239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265051239 |
| Entity Type | Individual |
| Full Name | STEPHANIE MERRILL |
| Other Name | STEPHANIE MERRILL |
| Practice Address |
1255 Theatre Dr Ottumwa IA 52501-3772 |
| Mailing Address |
1001 Pennsylvania Ave Ottumwa IA 52501-6427 |
| Practice Telephone | 6416842551 |
| Mailing Telephone | 6416842300 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A158391 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578974457 | Stephanie Marie Merrill | Dentist | 9682 Cincinnati Columbus Rd, West Chester, OH 45241-1071 | 2014-05-14 |
| 1861699324 | Stephanie I Merrill | Pediatrics | 2075 University Park Blvd, Layton, UT 84041-1611 | 2007-06-28 |
| Street Address |
1255 THEATRE DR |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942441423 | Brooke E. Nichols | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2009-03-13 |
| 1801417449 | Ottumwa Health Group LLC | Clinic/Center | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-05-06 |
| 1184132995 | Aspen Dental Pop Ottumwa PC | Dentist | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2018-01-15 |
| 1649794561 | Malerie Plank | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2017-08-02 |
| 1154842482 | Maressa Ann Mistretta | Dentist | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2017-06-27 |
| 1386095297 | Alindsey J Kramer | Registered Nurse | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2016-06-22 |
| 1952712499 | Kyle P Compaan | Nurse Practitioner | 1255 Theatre Dr, B, Ottumwa, IA 52501 | 2014-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780968 | Jacy L Kennedy | Nurse Practitioner | 1207 N Jefferson St Ste 1, Ottumwa, IA 52501-2021 | 2019-06-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1508305541 | Laura Medanic | Nurse Practitioner | 1013 Pennsylvania Ave # A-c, Ottumwa, IA 52501-2110 | 2017-02-22 |
| 1659904399 | Natasha Ann Myers | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2020-02-21 |
| 1831738871 | Tracy Lynn Clawson | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-12-21 |
| 1407415128 | Sondra Philips | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-06-06 |
| 1043796469 | Jayci Michelle Beamer | Nurse Practitioner | 1009 Pennsylvania Ave, Ottumwa, IA 52501-2108 | 2018-07-18 |
| 1447752464 | Peggy Sue Swank | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-03-06 |
| 1073038220 | Jamie Lee Hyde | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2017-08-09 |
| 1649794561 | Malerie Plank | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2017-08-02 |
| Find all providers in OTTUMWA | ||||
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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.