ELIZABETH BLANKE (NPI# 1407107576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407107576 |
Entity Type | Individual |
Full Name | ELIZABETH BLANKE |
Practice Address |
1702 N 16th St Council Bluffs IA 51501-0121 |
Mailing Address |
1306 N 52nd St Omaha NE 68132-1420 |
Practice Telephone | 7122567223 |
Practice Fax Number | 7122567669 |
Mailing Telephone | 4023326706 |
Enumeration Date | 2012-09-28 |
Last Update Date | 2012-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
J-127693 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1702 N 16TH ST |
City | COUNCIL BLUFFS |
State | IA |
Zip Code | 51501-0121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033224290 | Erica K. Cichowski | Internal Medicine | 1702 N 16th St, Council Bluffs, IA 51501-0121 | 2006-08-20 |
1437407939 | Teresa J Batten | Registered Nurse | 1702 N 16th St, Council Bluffs, IA 51501-0121 | 2012-08-15 |
1811207889 | Pace Iowa | PACE Provider Organization | 1702 N 16th St, Council Bluffs, IA 51501-0121 | 2010-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
Find all providers in zip 51501 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | COUNCIL BLUFFS |
Zip Code | 51501 |
Please comment or provide details below to improve the information on ELIZABETH BLANKE.
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.