IKAMA SASA (NPI# 1619460201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619460201 |
| Entity Type | Individual |
| Full Name | IKAMA SASA |
| Credential | RN |
| Practice Address |
520 11th St Nw Cedar Rapids IA 52405-3811 |
| Practice Telephone | 3193983562 |
| Mailing Telephone | 3193983562 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G105815 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0074575 | 05 |
| Street Address |
520 11TH ST NW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52405-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389819 | Robert J Metzger IIi | Counselor | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2006-01-02 |
| 1093327918 | Nicole L Moore | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-08-21 |
| 1114543683 | Helen Neumann | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-06-22 |
| 1619598869 | Katherine Shea | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-04-29 |
| 1629617469 | Amy S Morin | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-26 |
| 1881231785 | Megan Engen | Registered Nurse | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-10 |
| 1912543497 | Stephanie Moore | Counselor | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-11-20 |
| 1255991139 | Nicolette Nefzger | Marriage & Family Therapist | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-06-13 |
| 1528555356 | Brittany Smelser | Physician Assistant | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2018-04-17 |
| 1669981171 | Amy March | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
| 1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
| 1528374758 | Matthew Lorenzo Vasquez | Social Worker | 3113 1st Ave Nw, Cedar Rapid, IA 52405 | 2010-08-25 |
| 1770643470 | Douglas P Dvorak | Chiropractor | 1427 6th St Nw, Cedar Rapids, IA 52405 | 2006-12-11 |
| 1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
| 1134120405 | Toni Neta | Social Worker | 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 | 2005-08-09 |
| 1013918051 | Carol Ogea | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-01 |
| 1275617854 | Kristen Jean Wagaman | Nurse Practitioner | 75 Short St Nw, Cedar Rapids, IA 52405 | 2006-10-24 |
| 1225020092 | Karen Penick | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-18 |
| Find all providers in zip 52405 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1841300183 | Kristen Paige Richardson | Nurse Practitioner | 1231 Park Pl Ne, Suite Falcon, Cedar Rapids, IA 52402-2018 | 2006-08-30 |
| 1619598869 | Katherine Shea | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-04-29 |
| 1629617469 | Amy S Morin | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-26 |
| 1134570278 | Corissa Vidal | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2016-06-30 |
| 1427408715 | Daniell Don Darbyshire | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2016-06-16 |
| 1467802124 | Jessica Rae Thomas | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2016-06-14 |
| 1164821336 | Helga-margot Aldape O'brien | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2014-08-14 |
| 1821333774 | Brittni M Benda | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2012-12-04 |
| 1740532803 | Jamie Lynn Smith | Nurse Practitioner | 701 10th St Se, Mercy Outpatient Psychiatry, Cedar Rapids, IA 52403-1251 | 2012-10-12 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52405 |
Please comment or provide details below to improve the information on IKAMA SASA.
| 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.