JENNA FOURRE (NPI# 1285119784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285119784 |
| Entity Type | Individual |
| Full Name | JENNA FOURRE |
| Practice Address |
5005 Bowling St Sw Ste C Cedar Rapids IA 52404-5070 |
| Mailing Address |
Po Box 564 Tiffin IA 52340-0564 |
| Practice Telephone | 3195313824 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18057 | IA | Behavioral Health & Social Service Providers |
| Street Address |
5005 BOWLING ST SW STE C |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821418096 | Crc Recovery, Inc. | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2014-04-25 |
| 1164053716 | Jodi Hayes | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2020-02-03 |
| 1306496534 | Brandy Diana Hansen | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-09-19 |
| 1841851193 | Erin Lynn Turner | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-06-27 |
| 1003379611 | Nichole Davis | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-04-10 |
| 1407329535 | Amy Lynn Ealy | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-01-11 |
| 1477026680 | Jeannie Marie Murphy | Registered Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2019-01-10 |
| 1306317003 | Frederick Mishler | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-12-07 |
| 1154824134 | Deena Loraine White | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-03-15 |
| 1801399381 | Dianna Ray Slick | Licensed Practical Nurse | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2018-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1477107555 | Patrick J Mcmannus | Counselor | 2950 Samuel Ct Sw Unit A, Cedar Rapids, IA 52404-7854 | 2019-07-28 |
| 1992286835 | Megan Young | Counselor | 4837 1st Ave Se Ste 206, Cedar Rapids, IA 52402-3226 | 2018-08-28 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1508343278 | Kathleen Marie Brogla | Counselor | 4050 Bowling St Sw, Cedar Rapids, IA 52404-5005 | 2018-07-25 |
| 1972080653 | Shirley Ann Schneider | Counselor | 317 7th Ave Se Ste 203, Cedar Rapids, IA 52401-2007 | 2018-07-25 |
| 1437652450 | Kim Charles Harban | Counselor | 2434 O Ave Nw, Cedar Rapids, IA 52405-1435 | 2018-03-15 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
Please comment or provide details below to improve the information on JENNA FOURRE.
| 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.