SKIN CARE CLINIC PLLC (NPI# 1427319672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427319672 |
| Entity Type | Organization |
| Organization Name | SKIN CARE CLINIC PLLC |
| Practice Address |
204 N 4th Ave E Newton IA 50208-3135 |
| Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
| Practice Telephone | 6417921273 |
| Mailing Telephone | 5152373974 |
| Mailing Fax Number | 5158832692 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | LINDA SUE SCHILLING (OWNER) |
| Authorized Official Telephone | 5156695520 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-076022 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1427319672 | 05 | |
| IA | BCBS | 1427319672 | 01 |
| Street Address |
204 N 4TH AVE E |
| City | NEWTON |
| State | IA |
| Zip Code | 50208-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930441 | Skiff Medical Center | General Acute Care Hospital | 204 N 4th Ave E, Newton, IA 50208-3135 | 2005-05-23 |
| 1275153876 | Mercy Medical Center - Newton | Clinical Medical Laboratory | 204 N 4th Ave E, Newton, IA 50208-3135 | 2020-04-23 |
| 1467072413 | Amber Karsten | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2020-04-20 |
| 1558980987 | Colleen Marie Jacobsen | Pharmacist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2020-04-15 |
| 1811556293 | Maria Martha Katherine Doud | Speech-Language Pathologist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2019-06-10 |
| 1801455613 | Tess Metzler | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2019-06-06 |
| 1023528890 | Christine A Pernetti | Audiologist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2017-10-06 |
| 1295265023 | Christopher Garold Kearse | Nurse Practitioner | 204 N 4th Ave E, Newton, IA 50208-3135 | 2017-06-14 |
| 1821545898 | Mary Robinson | Nurse Practitioner | 204 N 4th Ave E, Newton, IA 50208-3135 | 2016-09-07 |
| 1710359609 | Lisa L Kirke | Audiologist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642905 | Jennifer Elaine Clodfelter | Pharmacist | 1201 1st Avenue East, Newton, IA 50208 | 2020-06-08 |
| 1578107041 | Benjamin Robert Lehl | Counselor | 1123 1st Ave E, #200, Hewton, IA 50208 | 2019-10-29 |
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1275995045 | Jasper County Health Department | Home Health | 115 N 2nd Avenue E, County Annex Building B-1, Newton, IA 50208 | 2016-03-22 |
| 1346608304 | Caitlyn Boldt | Speech-Language Pathologist | 200 South 8th Ave W, Newton, IA 50208 | 2016-02-05 |
| 1427431725 | Jennifer Kramer | Social Worker | 306 N 3rd Avenue E, Newton, IA 50208 | 2015-07-06 |
| 1669890976 | Newton Village, Inc. | Skilled Nursing Facility | 114 N 5th Ave, Newton, IA 50208 | 2014-04-03 |
| 1922120559 | Lonnie Dean Barton | Dentist | 727 W 11th St S, Newton, IA 50208 | 2007-04-04 |
| 1578690939 | Ambroson Apothecary LLC | Pharmacy | 212 1st Street North, Newton, IA 50208 | 2007-02-27 |
| 1659420214 | Roy Edgar Mount | Dentist | 600 E 17th St N, Suite A, Newton, IA 50208 | 2007-01-10 |
| Find all providers in zip 50208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318931 | Katherine Lee | Nurse Practitioner | 141 Needham St, Newton, MA 02464-1505 | 2019-10-18 |
| 1891278107 | Jana Hart Brock | Nurse Practitioner | 3389 William Irvin Rd, Newton, GA 39870-7129 | 2018-09-12 |
| 1083112676 | Leatrice M Current | Nurse Practitioner | 112 Kemah Mecca Lake Rd, Newton, NJ 07860-6614 | 2018-01-29 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1619423936 | Judieth Darlene Sims | Nurse Practitioner | 858 County Road 426, Newton, AL 36352-3711 | 2016-08-28 |
| 1902289879 | Bridgett Simmons | Nurse Practitioner | 10150 E North Lake Dr, Newton, IL 62448-3461 | 2015-07-09 |
| 1346639267 | Lacey Anderson | Nurse Practitioner | 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 | 2015-01-15 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1346661659 | Business Revenue Corporation | Nurse Practitioner | 615 N 2nd Ave W, Newton, IA 50208-3015 | 2014-01-04 |
| 1316228992 | Melissa Ann Saris | Nurse Practitioner | 978 Boylston Street, Cvs Minute Clinic, Newton, MA 02461 | 2011-09-08 |
| Find all providers in NEWTON | ||||
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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.