SHANNA WITGES (NPI# 1376882647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376882647 |
| Entity Type | Individual |
| Full Name | SHANNA WITGES |
| Credential | APRN NP-C |
| Practice Address |
509 Hamacher St Ste 102 Waterloo IL 62298-1592 |
| Mailing Address |
509 Hamacher St Suite 102 Waterloo IL 62298-1592 |
| Practice Telephone | 6189393939 |
| Mailing Telephone | 6189393939 |
| Mailing Fax Number | 6189393941 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013002942 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
509 HAMACHER ST STE 102 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020297 | Skye Aileen Warren | Nurse Practitioner | 5685 Summerland Dr, Waterloo, IA 50701-9597 | 2020-07-13 |
| 1255980710 | Stephanie Lynn Muertz | Nurse Practitioner | 6461 Old Orchard Ln, Waterloo, IL 62298-2136 | 2019-09-08 |
| 1760942767 | Christina E Lambert | Nurse Practitioner | 437 Alpine Dr, Waterloo, IL 62298-1086 | 2019-03-25 |
| 1235616293 | Nicole Christine Miller | Nurse Practitioner | 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 | 2018-07-23 |
| 1285129023 | Lindsay Ann Nie | Nurse Practitioner | 2140 Logan Ave, Waterloo, IA 50703-1020 | 2018-06-25 |
| 1376065318 | Nickayla L Giesemann | Nurse Practitioner | 212 W Dale St Ste 101, Waterloo, IA 50703-1900 | 2017-07-12 |
| 1831553908 | Theresa Mcfadin | Nurse Practitioner | 6100 Illini Trl, Waterloo, IL 62298-3547 | 2016-04-05 |
| 1952640369 | Kimberly Elaine Glasgow | Nurse Practitioner | 1655 E San Marnan Dr Ste H, Waterloo, IA 50702-4378 | 2013-02-05 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1861778508 | Jessica Ellen Pifkin | Nurse Practitioner | 2140 Logan Ave Ste B, Waterloo, IA 50703-1002 | 2011-10-26 |
| 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.