NICOLE A RUSSLER (NPI# 1265948210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265948210 |
| Entity Type | Individual |
| Full Name | NICOLE A RUSSLER |
| Credential | ARNP |
| Practice Address |
3741 Pheasant Ln Waterloo IA 50701-5215 |
| Practice Telephone | 3192333611 |
| Practice Fax Number | 3192330669 |
| Mailing Telephone | 3192333611 |
| Mailing Fax Number | 3192330669 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 119055 | IA | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
H119055 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3741 PHEASANT LN |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932184249 | Vinko M Bogdanic | Internal Medicine | 3741 Pheasant Ln, Waterloo, IA 50701-5215 | 2005-12-08 |
| 1932540168 | Iowa Adult Medical Clinic, LLC | Internal Medicine | 3741 Pheasant Ln, Waterloo, IA 50701-5215 | 2013-07-16 |
| 1679877393 | Hamid R. Amjadi, D.o. | Internal Medicine | 3741 Pheasant Ln, Waterloo, IA 50701-5215 | 2011-01-10 |
| 1396944120 | Internal Medicine of Waterloo | Internal Medicine | 3741 Pheasant Ln, Waterloo, IA 50701-5215 | 2007-07-12 |
| 1295703593 | Tricia Thompson | Nurse Practitioner | 3741 Pheasant Ln, Waterloo, IA 50701-5215 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470851 | Michelle A Richmond | Nurse Practitioner | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2020-02-24 |
| 1477815769 | Lindsay R. Vogel | Nurse Practitioner | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704644 | Edna Mae Scherbring | Nurse Practitioner | 908 8th St Sw, Dyersville, IA 52040-2146 | 2020-06-16 |
| 1659784866 | Halley Boston | Nurse Practitioner | 32061 Old Portland Rd, Adel, IA 50003-8703 | 2014-06-05 |
| 1952679292 | Kathleen Chapman | Nurse Practitioner | 2797 Reading Trl, Logan, IA 51546-5053 | 2011-12-01 |
| 1376724260 | Hoskins Geriatrics, PC | Nurse Practitioner | 1827 Reed St, Grinnell, IA 50112-1029 | 2007-11-19 |
| 1497848014 | Denise Overby-reyes | Nurse Practitioner | 7968 Essen Park Lane, Baton Rouge, IA 70806 | 2006-10-02 |
| 1447247184 | Karen J. Bates | Nurse Practitioner | 705 8th St, Story City, IA 50248-1301 | 2005-09-27 |
| 1891797494 | Cynthia S Rebik Christensen | Nurse Practitioner | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2005-08-12 |
| 1407474133 | Erika Lea Harwood | Nurse Practitioner | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2020-07-09 |
| 1629690508 | Tara Nichols | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-05-13 |
| 1841836004 | Cara Marie Voelliger | Nurse Practitioner | 1236 E Rusholme St Ste 300, Davenport, IA 52803-2484 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICOLE A RUSSLER.
| 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.