PENJIT BLAKELY (NPI# 1588841258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588841258 |
| Entity Type | Individual |
| Full Name | PENJIT BLAKELY |
| Practice Address |
4412 73rd Pl Urbandale IA 50322-1122 |
| Practice Telephone | 5152528689 |
| Practice Fax Number | 5152763663 |
| Mailing Telephone | 5152528689 |
| Mailing Fax Number | 5152763663 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 108568 | IA | Nursing Service Providers |
| Street Address |
4412 73RD PL |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235408469 | Scheila Hufford | Registered Nurse | 4866 63rd St, Urbandale, IA 50322-8057 | 2011-12-16 |
| 1669646360 | Rebekah Matzke | Registered Nurse | 8609 Snowberry Lane, Urbandale, IA 50322-4411 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824733 | Travis Heflin | Registered Nurse | 1707 11th St, Coralville, IA 52241-1332 | 2020-09-01 |
| 1508476573 | Nashika Antionette Tetteh | Registered Nurse | 601 Us-6 W, Iowa City, IA 52246 | 2020-08-05 |
| 1518584473 | Auston H Horras | Registered Nurse | 757 E 8th St, Pella, IA 50219-2109 | 2020-06-26 |
| 1982230199 | Sarah Marie Fuller | Registered Nurse | 2000 Rockford Rd, Charles City, IA 50616-9101 | 2020-03-19 |
| 1760026595 | Rebecca Ingamelles | Registered Nurse | 1229 C Ave E Ste 400, Oskaloosa, IA 52577-4246 | 2019-11-05 |
| 1285277483 | Sara Kennedy | Registered Nurse | 1770 92nd St Unit 7101, West Des Moines, IA 50266-3216 | 2019-10-21 |
| 1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
| 1477103646 | Adeela Mohamed Mohamed Salih | Registered Nurse | 751 Savannah Dr, North Liberty, IA 52317-9189 | 2019-09-18 |
| 1164089025 | Donella Raye Chadwick-kermeen | Registered Nurse | 21367 Old Lincoln Hwy, Crescent, IA 51526-4087 | 2019-05-24 |
| 1093372062 | Cynthia Jean Fiester | Registered Nurse | 3701 Elmwood Dr Ne, Cedar Rapids, IA 52402-2708 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
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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.