MCKENZIE MAE COOPER (NPI# 1487150991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487150991 |
| Entity Type | Individual |
| Full Name | MCKENZIE MAE COOPER |
| Practice Address |
3 S 4th Ave Marshalltown IA 50158-2924 |
| Mailing Address |
7071 Carey Ct Johnston IA 50131-2407 |
| Practice Telephone | 5153260385 |
| Mailing Telephone | 5153260385 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
090944 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673934 | Mckenzie L Cooper | Behavioral Analyst | 27421 30th Ave E, Spanaway, WA 98387 | 2019-08-08 |
| Street Address |
3 S 4TH AVE |
| City | MARSHALLTOWN |
| State | IA |
| Zip Code | 50158-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980032 | Central Iowa Healthcare | General Acute Care Hospital | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2005-05-31 |
| 1912528902 | Andrea Bergdale | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-04-30 |
| 1992338222 | Marci Burns | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-14 |
| 1164054680 | Maria Gunnes Sibbel | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-12 |
| 1750930426 | Melissa Michelle Hadwiger | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158 | 2019-09-05 |
| 1306406681 | Brandy M Reints | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2019-06-18 |
| 1821568858 | Leah M Haubrich | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-12-03 |
| 1073006698 | Callie M Williams | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-06-08 |
| 1851893135 | Ryan Matthew Foulkes | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-03-02 |
| 1336640366 | Mackenzie Jeanne Stueck | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122455 | The Willows of Marshalltown LLC | Assisted Living Facility | 2315 Campbell Drive, Marshalltown, IA 50158 | 2018-08-01 |
| 1649654922 | Jennifer Marie Sitter | Physical Therapist | 55 Central Iowa Drive, Suite 70, Marshalltown, IA 50158 | 2015-07-16 |
| 1447685664 | Tara Lea Rathjen | Counselor | 2501 S Center Street, Suite M, Marshalltown, IA 50158 | 2013-09-06 |
| 1619232766 | Katie Elizabeth Mennenga | Hearing Instrument Specialist | 309 East Church Street, Marshalltown, IA 50158 | 2012-07-05 |
| 1043419070 | Iowa Veterans Home | Pharmacist | 1301 Summit Street, Marshalltown, IA 50158 | 2007-07-11 |
| 1710183637 | Leah A. Bethel | Emergency Medicine | 3 South 4th Ave, Mcfarland Clinic, PC, Marshalltown, IA 50158 | 2007-06-26 |
| 1902018179 | Daryl M. Lorell | Speech-Language Pathologist | 1902 South Center Street, Marshalltown, IA 50158 | 2007-05-03 |
| 1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
| 1245319540 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 3109 S Center St # 102, Marshalltown, IA 50158 | 2006-11-06 |
| 1679669832 | Erin Voyles Hatcher | Nurse Practitioner | 9 North 4th Ave, Marshalltown, IA 50158 | 2006-10-05 |
| Find all providers in zip 50158 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053668475 | Jaime M. Hooley | Physician Assistant | 405 E Main St, Marshalltown, IA 50158-1928 | 2012-08-06 |
| 1578828786 | Rebecca L Miller | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| Find all providers with the same taxonomy | ||||
| City | MARSHALLTOWN |
| Zip Code | 50158 |
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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.