MR. JACOB BEARDSLEY


Address: 5506 N Pine St, Davenport, IA 52806-2631
Phone: 5637236900

MR. JACOB BEARDSLEY (NPI# 1699209056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699209056
Entity Type Individual
Full Name MR. JACOB BEARDSLEY
Practice Address 5506 N Pine St
Davenport
IA 52806-2631
Mailing Address 1202 W 3rd St
Davenport
IA 52802-1344
Practice Telephone 5637236900
Mailing Telephone 5633499512
Enumeration Date 2017-04-12
Last Update Date 2017-04-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
007810 IA Behavioral Health & Social Service Providers

Office Location

Street Address 5506 N PINE ST
City DAVENPORT
State IA
Zip Code 52806-2631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346736782 Molly Lynn Hinke Social Worker 5506 N Pine St, Davenport, IA 52806-2631 2018-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543257 June Swain Nurse Practitioner Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 2019-11-21
1881055747 Jace Carter Chiropractor 235 West 35th Street Suite 2d, Davenport, IA 52806 2016-03-18
1538468210 Cody Krech Dentist 141 E 46th St, Davenport, IA 52806 2011-03-21
1619287216 Robert Earl Clark Occupational Therapist 6623 N Main St, Davenport, IA 52806 2010-10-15
1689902579 Nicholas P. Carlson Nurse Practitioner 3801 Marguette Street, Suite 200, Davenport, IA 52806 2009-12-03
1295821114 David Lee Botsko Dentist 2334 W. Kimberly Road, Davenport, IA 52806 2006-10-05
1598712903 Select Specialty Hospital - Quad Cities Inc Long Term Care Hospital 1111 West Kimberly Road, Davenport, IA 52806 2006-05-30
1528030350 Warren Wright Occupational Therapist 1008 W 35th St, Davenport, IA 52806 2006-02-06
1144291568 Gerald Wallace Hess Chiropractor 2711 W 63rd St, Ste #1, Davenport, IA 52806 2006-02-01
1487642286 Virginia Armstrong Chiropractor 4811 N Brady St Ste 1a, Davenport, IA 52806 2005-10-06
Find all providers in zip 52806

Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922485283 Jamie Lynn Heard Social Worker 50 N. Eisenhower Ave., Mason City, IA 50401 2015-05-06
1598996472 Lauren Ashley Nystrom Social Worker 1055 39th St, Des Moines, IA 50311-3632 2009-07-27
1538627302 Katherine Lux Social Worker 1011 Davis St, Dubuque, IA 52001-1397 2019-03-11
1851879860 Kristin Cannon Social Worker 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 2018-08-01
1841778933 Lanna Carroll Goodman Social Worker 1030 5th Ave Se, Cedar Rapids, IA 52403 2018-08-01
1003394016 Daryl Byrd Social Worker 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 2018-08-01
1245718246 Tonya Goodburn Social Worker 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 2018-08-01
1386122380 Katherine Parker Social Worker 1030 5th Ave Se, Cedar Rapids, IA 52403-2464 2018-08-01
1639657653 Alexis Erger Social Worker 1030 5th Ave Se, Cedar Rapids, IA 52403 2018-08-01
1902243785 Natalie Anderson Social Worker 3115 Douglas Ave, Des Moines, IA 50310-5307 2013-06-03
Find all providers with the same taxonomy

Competitor

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City DAVENPORT
Zip Code 52806

Improve Information

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Dataset Information

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.

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