DENISE A PECK (NPI# 1265500573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265500573 |
| Entity Type | Individual |
| Full Name | DENISE A PECK |
| Credential | ARNP |
| Practice Address |
411 10th St Se Ste 150 Cedar Rapids IA 52403-2449 |
| Mailing Address |
200 Hawkins Drive 01003 Jpp Iowa City IA 52242 |
| Practice Telephone | 3193633600 |
| Practice Fax Number | 3193639971 |
| Mailing Telephone | 3193545692 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A093979 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A093979 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1265500573 | 05 | |
| IA | WELLMARK BCBS | 71356 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 E 9th St, Coralville, IA 522412209 | 3194672000 | 3194672410 |
| 200 Hawkins Drive, University of Iowa Hospitals and Clinics, Department Of, Iowa City, IA 52242 | 3193545692 |
| Street Address |
411 10TH ST SE STE 150 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889149 | Jane Clark Grundman Fischer | Family Medicine | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2017-05-25 |
| 1053727487 | Sara D Spiva | Family Medicine | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2014-07-07 |
| 1881952356 | Kristen Elizabeth Harring | Pediatrics | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2012-05-02 |
| 1053645291 | Carmen Renee Wycoff | Nurse Practitioner | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2009-09-21 |
| 1710177357 | Bruce W Jasper | Clinical Neuropsychologist | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1134754575 | Jennifer M Magsamen | Nurse Practitioner | 1026 A Ave Ne Fl 5, Cedar Rapids, IA 52402-5036 | 2020-03-05 |
| 1043859242 | Ankit R Parikh | Nurse Practitioner | 5264 Council St Ne Ste 100, Cedar Rapids, IA 52402-2499 | 2020-01-06 |
| 1487202255 | Brenna Elaine Steckler | Nurse Practitioner | 6514 Ohio St Sw, Cedar Rapids, IA 52404-5441 | 2019-08-26 |
| 1366906703 | Brigitte Kamtal Toingar | Nurse Practitioner | 369 Willshire Ct Ne, Cedar Rapids, IA 52402-6922 | 2019-01-30 |
| 1720567407 | Rachel Ann Blackford | Nurse Practitioner | 1630 42nd St Ne Ste F, Cedar Rapids, IA 52402-3063 | 2018-08-13 |
| 1952812679 | Hillary Behn | Nurse Practitioner | 788 8th Ave Se Ste 400, Cedar Rapids, IA 52401-2108 | 2017-10-20 |
| 1740699925 | Denise Younke | Nurse Practitioner | 2822 Glen Elm Dr Ne, Cedar Rapids, IA 52402-2618 | 2014-08-12 |
| 1598198061 | Katie T Huether | Nurse Practitioner | 1020 Prairie Dr Ne, Cedar Rapids, IA 52402-4728 | 2013-08-19 |
| 1497952170 | Mercy Physician Associates, Inc | Nurse Practitioner | 600 7th St Se Ste 100, Cedar Rapids, IA 52401-2120 | 2007-06-27 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on DENISE A PECK.
| 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.