ALICIA L DUYVEJONCK (NPI# 1366858334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366858334 |
Entity Type | Individual |
Full Name | ALICIA L DUYVEJONCK |
Credential | DNP,AGNP, NP-C |
Practice Address |
4700 E 56th St Suite 100 Davenport IA 52807-2903 |
Practice Telephone | 5633832667 |
Practice Fax Number | 5633832672 |
Mailing Telephone | 5633832667 |
Mailing Fax Number | 5633832672 |
Enumeration Date | 2014-07-10 |
Last Update Date | 2016-12-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
H108094 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4700 E 56TH ST SUITE 100 |
City | DAVENPORT |
State | IA |
Zip Code | 52807-2903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184602013 | Rodney A Short | Psychiatry & Neurology | 4700 E 56th St, Suite 100, Davenport, IA 52807-2995 | 2005-12-30 |
1730142589 | Franlynn Bugg | Medical Genetics, Ph.D. Medical Genetics | 4700 E 56th St, Suite 100, Davenport, IA 52807-2903 | 2006-04-11 |
1861461436 | Neurology Consultants PC | Psychiatry & Neurology | 4700 E 56th St, Suite 100, Davenport, IA 52807-2903 | 2006-03-16 |
1821076753 | Irena M Charysz-birski | Psychiatry & Neurology | 4700 E 56th St, Suite 100, Davenport, IA 52807-2995 | 2005-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
Find all providers in zip 52807 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841836004 | Cara Marie Voelliger | Nurse Practitioner | 1236 E Rusholme St Ste 300, Davenport, IA 52803-2484 | 2019-11-22 |
1982071817 | Antoinette Lambert | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2015-08-26 |
1568851913 | Sherrel Fry | Nurse Practitioner | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2015-01-22 |
1942606413 | Ellen Terese Holm | Nurse Practitioner | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2014-11-11 |
1356774798 | Anne Christine Gentil-archer | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804 | 2013-08-20 |
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 |
1306470851 | Michelle A Richmond | Nurse Practitioner | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2020-02-24 |
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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.