ALYSSA K BLUM (NPI# 1396208054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396208054 |
| Entity Type | Individual |
| Full Name | ALYSSA K BLUM |
| Practice Address |
809 Elm St Missouri Valley IA 51555-1140 |
| Practice Telephone | 7126422794 |
| Practice Fax Number | 7126429338 |
| Mailing Telephone | 7126422794 |
| Mailing Fax Number | 7126429338 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 095329 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573704 | Alyssa Rachael Blum | Behavioral Analyst | 160 W Midland Ave, Paramus, NJ 07652-1835 | 2019-11-20 |
| Street Address |
809 ELM ST |
| City | MISSOURI VALLEY |
| State | IA |
| Zip Code | 51555-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552639 | Jennifer Bruck | Nurse Practitioner | 809 Elm St, Missouri Valley, IA 51555-1140 | 2017-11-22 |
| 1225558562 | Rory Keys | Family Medicine | 809 Elm St, Missouri Valley, IA 51555-1140 | 2017-06-27 |
| 1861940249 | Sara M Mcintosh | Nurse Practitioner | 809 Elm St, Missouri Valley, IA 51555-1140 | 2016-09-14 |
| 1801349253 | Brandon Echtenkamp | Nurse Practitioner | 809 Elm St, Missouri Valley, IA 51555-1140 | 2016-08-02 |
| 1326443342 | Sharon Louise Pitt | Nurse Practitioner | 809 Elm St, Missouri Valley, IA 51555-1140 | 2014-11-03 |
| 1972653962 | Robert Cunard | Family Medicine | 809 Elm St, Missouri Valley, IA 51555-1140 | 2007-01-11 |
| 1730246745 | Daniel H. Richter | Family Medicine | 809 Elm St, Missouri Valley, IA 51555-1140 | 2007-01-02 |
| 1215094214 | Rita Petsch | Nurse Practitioner | 809 Elm St, Missouri Valley, IA 51555-1140 | 2007-01-02 |
| 1700961273 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Clinic/Center | 809 Elm St, Missouri Valley, IA 51555-1140 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525433 | Adam Dollen | Counselor | 421 E Erie St, Missouri Valley, IA 51555 | 2019-08-27 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1427065614 | Rebecca Eilers | Social Worker | 631 North 8th Street, Missouri Valley, IA 51555 | 2006-08-01 |
| 1104259589 | Amanda Kay Bogard | Nurse Practitioner | 631 N 8th St, Missouri Valley, IA 51555 | 2013-08-20 |
| 1245363654 | Adult & Pediatric Urology PC | Urology | 631 N 8th St, Missouri Valley, IA 51555 | 2007-03-14 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1912390725 | Andrea Schultes | Physical Therapist | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2015-03-18 |
| 1124419130 | Grant Schultes | Physical Therapist | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2015-02-12 |
| 1407168180 | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2010-07-09 |
| 1043356108 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Emergency Medicine | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2007-01-29 |
| Find all providers in zip 51555 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1992311435 | Elli Kay Vore | Physician Assistant | 4327 129th St, Urbandale, IA 50323-2480 | 2020-09-21 |
| 1023624699 | Vivara Rages | Physician Assistant | 3054 Cherrywood Dr, Bettendorf, IA 52722-7550 | 2020-09-19 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1912521444 | Charles Bradley Walters | Physician Assistant | 201 S Clinton St # 168, Iowa City, IA 52240-4034 | 2020-06-01 |
| 1972124956 | Michaela J Maliszewski | Physician Assistant | 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 | 2020-05-01 |
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1336774488 | Jakob J. Olson | Physician Assistant | 2751 Northgate Dr Ste 1, Iowa City, IA 52245-9509 | 2020-03-10 |
| 1215561006 | Paul David Kretkowski | Physician Assistant | 714 N Johnson St, Iowa City, IA 52245-2014 | 2020-03-02 |
| 1154962983 | Megan Wulf | Physician Assistant | 24141 80th Ave, Walcott, IA 52773-9737 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | MISSOURI VALLEY |
| Zip Code | 51555 |
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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.