LISA K KOLLASCH (NPI# 1306897863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306897863 |
| Entity Type | Individual |
| Full Name | LISA K KOLLASCH |
| Credential | NP |
| Practice Address |
800 Mercy Dr Council Bluffs IA 51503-3128 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 7123285230 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194342 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A111561 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100251147-00 | 05 | |
| IA | 0458653 | 05 | |
| IA | MIDLAND CHOICE FOR IOWA | 236904 | 01 |
| IA | RRMEDICARE FOR IOWA | P00201286 | 01 |
| IA | WELLMARK FOR IOWA | 37715 | 01 |
| IA | BCBSNE FOR IOWA | 38588 | 01 |
| Street Address |
800 MERCY DR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269301 | New Century Physicians of Iowa PC | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2005-07-14 |
| 1104436575 | Benjamin Denich | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2020-07-31 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1588150809 | Nicholas J Crill | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-07-10 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| 1639687114 | Chi Health Clinic Physician Enterprise-anesthesia LLC | Nurse Anesthetist, Certified Registered | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-18 |
| 1215445077 | Melissa Kay Klutts | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-15 |
| 1699227892 | Ashley M Manhart | Registered Nurse | 800 Mercy Dr, Attn: Diabetic Education, Council Bluffs, IA 51503-3128 | 2016-11-04 |
| 1447616313 | Juanita Daisy Alvarez-hall | Registered Nurse | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2016-01-07 |
| 1932582848 | Nicholas Sakis | Hospitalist | 800 Mercy Dr, Council Bluffs, IA 51503 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1659925600 | Emily L Maass | Nurse Practitioner | 800 Mercy Dr Ste 210, Council Bluffs, IA 51503-3128 | 2019-07-29 |
| 1346851656 | Rachel M Kraniewski | Nurse Practitioner | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503-4620 | 2020-08-11 |
| 1306455506 | Mariah C. Schaaf | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-07-24 |
| 1821554007 | Alexandria A Leu | Nurse Practitioner | 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 2019-02-13 |
| 1194295907 | Jami Jo Dowell | Nurse Practitioner | 3502 Metro Dr, Council Bluffs, IA 51501-7761 | 2018-12-05 |
| 1205336740 | Monica E. Wilcox | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2018-02-20 |
| 1114425592 | Cross Therapy Center Pllc | Nurse Practitioner | 20 Frank St, Council Bluffs, IA 51503-4460 | 2018-01-31 |
| 1578072351 | Lisa A. Pape | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-09-25 |
| 1174992846 | Stephanie R Revord | Nurse Practitioner | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2015-09-23 |
| 1336523893 | Convenient Care Medical Group, Pllc | Nurse Practitioner | 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501-7724 | 2015-07-15 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.