JESSICA DEVAULT (NPI# 1306218565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306218565 |
| Entity Type | Individual |
| Full Name | JESSICA DEVAULT |
| Other Name | JESSICA D. ROGERS |
| Credential | ARNP |
| Practice Address |
2755 S. Gateway Drive Carlisle IA 50047-2301 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5153587300 |
| Practice Fax Number | 5153587341 |
| Mailing Telephone | 5153587300 |
| Mailing Fax Number | 5153587341 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A115887 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2755 S. GATEWAY DRIVE |
| City | CARLISLE |
| State | IA |
| Zip Code | 50047-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821444 | Jennifer Mae Olson | Family Medicine | 2755 S. Gateway Drive, Carlisle, IA 50047-2301 | 2005-09-14 |
| 1225584329 | Brady Gerber | Physician Assistant | 2755 S. Gateway Drive, Carlisle, IA 50047-2301 | 2016-08-29 |
| 1609883149 | Joellen Heims | Family Medicine | 2755 S. Gateway Drive, Carlisle, IA 50047-2301 | 2006-08-01 |
| 1114987120 | Marvin R. Huff | Family Medicine | 2755 S. Gateway Drive, Carlisle, IA 50047-2301 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184729188 | Philip Baxter West Jr. | Dentist | 500 S 2nd St, Carlisle, IA 50047 | 2006-09-14 |
| 1295070118 | Mercy Clinics, Inc | Family Medicine | 2755 Gateway Dr, Carlisle, IA 50047-2302 | 2012-12-04 |
| 1538681309 | Catherine Alexandra Del Rosario | Family Medicine | 2755 Gateway Dr, Carlisle, IA 50047-2302 | 2017-07-12 |
| 1750661179 | Cdac Services of Iowa, LLC | In Home Supportive Care | 14586 Scotch Ridge Rd, Carlisle, IA 50047-3131 | 2011-08-17 |
| 1285979401 | Lifestyle Chiropractic, LLC | Chiropractor | 204 S 1st St, Carlisle, IA 50047-7601 | 2012-11-28 |
| 1336325976 | Carlisle Chiropractic Clinic, PC | Chiropractor | 204 S 1st St, Box 133, Carlisle, IA 50047-7601 | 2008-01-14 |
| 1245206101 | Mark Andrew Gvist | Chiropractor | 204 S 1st St, Carlisle, IA 50047-7601 | 2006-02-28 |
| 1568603611 | Ambrose B Earle Jr. | Home Health Aide | 630 N 9th St, #8, Carlisle, IA 50047-7685 | 2009-03-19 |
| 1417937699 | Mary E Malcom | Emergency Medicine | 45 Columbia St, Carlisle, IA 50047-7715 | 2006-01-22 |
| 1194267575 | Seth Light | Specialist/Technologist | 730 N 5th St, Carlisle, IA 50047-7763 | 2016-11-16 |
| Find all providers in zip 50047 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488812 | Maria Belen-montellano Linn | Nurse Practitioner | 419 Village Dr Ste 5, Carlisle, PA 17015-6943 | 2019-10-16 |
| 1467856591 | Ayla Lynn Braley | Nurse Practitioner | 354 Alexander Spring Rd, Carlisle, PA 17015-7451 | 2014-10-17 |
| 1083038541 | Mary Dixon | Nurse Practitioner | 1211 Forge Rd Ste 300, Carlisle, PA 17013-3183 | 2014-02-04 |
| 1689137168 | Alejandra Moore | Nurse Practitioner | 366 Alexander Spring Rd Ste 2, Carlisle, PA 17015-9214 | 2019-04-10 |
| 1548787971 | Julie Ann Morgan | Nurse Practitioner | 1533 Commerce Ave, Carlisle, PA 17015-9128 | 2017-08-25 |
| 1063936508 | Julie Lynn Larue | Nurse Practitioner | 11 Sprint Dr Ste C, Carlisle, PA 17015-7789 | 2017-07-26 |
| 1548718919 | Molly Anne Tucker | Nurse Practitioner | 366 Alexander Spring Rd, Suite 4, Carlisle, PA 17015 | 2016-09-14 |
| 1235589078 | Dano K Heatwole | Nurse Practitioner | 361 Alexander Spring Rd, Carlisle, PA 17015-6940 | 2016-06-13 |
| 1013300896 | Stacey M Anderson | Nurse Practitioner | 107 S Broadway St, Carlisle, KY 40311-1150 | 2015-03-18 |
| 1437266525 | Leesa Ann Vitek | Nurse Practitioner | 19 Sprint Dr Ste 1, Carlisle, PA 17015-7002 | 2006-08-24 |
| Find all providers in CARLISLE | ||||
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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.