SUE ANN MCKERNAN (NPI# 1437766995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437766995 |
Entity Type | Individual |
Full Name | SUE ANN MCKERNAN |
Practice Address |
1801 Hickman Rd Des Moines IA 50314-1548 |
Mailing Address |
11553 Nw 115th Ave Granger IA 50109-9705 |
Practice Telephone | 5152822200 |
Mailing Telephone | 5154732574 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H160360 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1801 HICKMAN RD |
City | DES MOINES |
State | IA |
Zip Code | 50314-1548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235136581 | Dapka Nicholas Baccam | Surgery | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-07-01 |
1154920221 | Valerie Meyer | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-10-20 |
1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
1265043087 | Andrew Stessman | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-08-14 |
1801405832 | Sarah Hiemer | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-07-27 |
1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
1639794803 | Thomas David Biederman | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-06-12 |
1174148548 | Aaron Patrick Cronican | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
Find all providers in zip 50314 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700398377 | Eve Sheehan | Nurse Practitioner | 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 | 2017-11-03 |
1962855148 | Marsan Klein | Nurse Practitioner | 2930 E Euclid Ave, Des Moines, IA 50317-3840 | 2016-07-22 |
1750698833 | Catherine Patrice Smith | Nurse Practitioner | 1215 Pleasant St Ste 308, Des Moines, IA 50309-1409 | 2010-09-09 |
1811145691 | Katharine M. Turpin | Nurse Practitioner | 6500 University Ave Ste 100, Des Moines, IA 50324-1607 | 2008-09-04 |
1609357813 | Tracy Le | Nurse Practitioner | 2800 S 224th St, Des Moines, WA 98198-5132 | 2018-08-25 |
1841783123 | Jennifer Leigh Greimann | Nurse Practitioner | 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 | 2018-06-11 |
1770007155 | Ruth Nguyen | Nurse Practitioner | 3200 Grand Ave Fl 6, Des Moines, IA 50312-4104 | 2017-07-27 |
1760938591 | Sandra Hall | Nurse Practitioner | 411 Laurel Street, Suite A250, Des Moines, IA 50314-3029 | 2016-08-31 |
1740652577 | Kristi Lynn Vanleeuwen | Nurse Practitioner | 1221 Pleasant Street, Suite 100, Des Moines, IA 50309 | 2015-10-20 |
1013311778 | Melissa Batt | Nurse Practitioner | 411 Laurel St Ste 3262, Des Moines, IA 50314-3027 | 2014-10-09 |
Find all providers in DES MOINES |
City | DES MOINES |
Zip Code | 50314 |
Please comment or provide details below to improve the information on SUE ANN MCKERNAN.
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.