AMY R BONEBRAKE (NPI# 1316467061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316467061 |
| Entity Type | Individual |
| Full Name | AMY R BONEBRAKE |
| Credential | BA, CADC |
| Practice Address |
1903 W Ridgeway Ave Waterloo IA 50701-4547 |
| Mailing Address |
5306 Meadowlark Ln Cedar Falls IA 50613-7947 |
| Practice Telephone | 3192524631 |
| Practice Fax Number | 3192524631 |
| Mailing Telephone | 13192439020 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
09007 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1903 W RIDGEWAY AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932633609 | Access Evaluation and Education Services, L.L.C. | Community/Behavioral Health | 1903 W Ridgeway Ave, Waterloo, IA 50701-4547 | 2017-04-19 |
| 1801442090 | Cara Beth Boubin | Counselor | 1903 W Ridgeway Ave, Waterloo, IA 50701-4547 | 2019-08-13 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1184160152 | Danielle Sharar | Counselor | 607 Sycamore St, Ste. 300, Waterloo, IA 50703-4736 | 2017-01-13 |
| 1114310356 | Amy Holt | Counselor | 607 Sycamore St Ste 300, Waterloo, IA 50703-4799 | 2015-03-12 |
| 1841612264 | Sarah Panther | Counselor | 1237 Eleanor Dr, Waterloo, IA 50701-3420 | 2014-01-21 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1053678425 | Amanda Schara | Counselor | 3366 University Ave, Waterloo, IA 50701-2006 | 2012-04-23 |
| 1730366949 | Tammy Lynn Orlopp | Counselor | 3776 Yost Rd, Waterloo, NY 13165-8445 | 2008-01-30 |
| 1316001845 | Holly A Helm | Counselor | 1727 University Ave, Waterloo, IA 50701-2422 | 2006-12-20 |
| 1689734451 | Pathways Behavioral Services Inc | Counselor | 3362 University Ave, Waterloo, IA 50701-2006 | 2006-12-11 |
| Find all providers in WATERLOO | ||||
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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.