ALEXA NICOLE GRZYWA (NPI# 1427396670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427396670 |
| Entity Type | Individual |
| Full Name | ALEXA NICOLE GRZYWA |
| Other Name | ALEXA NICOLE WHITEFOOT |
| Credential | PA-C |
| Practice Address |
1 Edmundson Pl Ste 306 Council Bluffs IA 51503-4620 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 7123967787 |
| Practice Fax Number | 7123964115 |
| Mailing Telephone | (402) 354-2100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 073625 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1700 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026209700 | 05 | |
| NE | 47068731712 | 05 |
| Street Address |
1 EDMUNDSON PL STE 306 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851656 | Rachel M Kraniewski | Nurse Practitioner | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503-4620 | 2020-08-11 |
| 1780169219 | Marcella Louise Sorrell | Family Medicine | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503-4620 | 2018-10-01 |
| 1164840617 | Theresa Macdissi | Physician Assistant | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1972124956 | Michaela J Maliszewski | Physician Assistant | 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 | 2020-05-01 |
| 1215281282 | Wyatt Allen Schmidt | Physician Assistant | 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501-7724 | 2012-10-30 |
| 1285791186 | Joyce Vacek | Physician Assistant | 2201 W Broadway Ste 9, Council Bluffs, IA 51501-3605 | 2007-01-02 |
| 1184657603 | Sara Rygol | Physician Assistant | 2201 W Broadway, Suite 9, Council Bluffs, IA 51501-3605 | 2006-07-08 |
| 1770558025 | Denise L Honner | Physician Assistant | 1604 2nd Ave, Council Bluffs, IA 51501 | 2006-02-21 |
| 1235761107 | Jared J Scherer | Physician Assistant | 1288 Valley View Dr, Council Bluffs, IA 51503-5245 | 2020-02-10 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1972080331 | Nancy Hall Pettit | Physician Assistant | 320 Mckenzie Ave, Suite 201, Council Bluffs, IA 51503 | 2018-07-27 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| 1083139224 | Alegent Health Quick Care LLC | Physician Assistant | 2323 W Broadway, Council Bluffs, IA 51501-3602 | 2017-08-09 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on ALEXA NICOLE GRZYWA.
| 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.