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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
007810 | IA | Behavioral Health & Social Service Providers |
Street Address |
5506 N PINE ST |
City | DAVENPORT |
State | IA |
Zip Code | 52806-2631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346736782 | Molly Lynn Hinke | Social Worker | 5506 N Pine St, Davenport, IA 52806-2631 | 2018-07-09 |
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 Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
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 |
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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.