CHELSIE BRUCK (NPI# 1770133100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770133100 |
| Entity Type | Individual |
| Full Name | CHELSIE BRUCK |
| Practice Address |
2730 Crow Creek Rd Bettendorf IA 52722-2066 |
| Mailing Address |
5132 N Elston Ave Chicago IL 60630-2429 |
| Practice Telephone | 5633327463 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A156478 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2730 CROW CREEK RD |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714224 | Bettendorf Nursing Home Company | Skilled Nursing Facility | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2006-03-21 |
| 1487141214 | Lynn Ann Welzenbach | Nurse Practitioner | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2018-04-17 |
| 1699029322 | Bettendorf Healthcare Management LLC | Skilled Nursing Facility | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2012-11-02 |
| 1235414269 | Teal Metta Olson | Speech-Language Pathologist | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2011-10-21 |
| 1255665782 | Melissa Alexander | Occupational Therapist | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2009-09-30 |
| 1033231022 | Michael R. Harvey | Physical Therapist | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2007-04-03 |
| 1942329958 | Jeanie Dee Fountain | Occupational Therapist | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802279 | Danielle Marie Coberly | Nurse Practitioner | 6659 Friendship Path, Bettendorf, IA 52722-4877 | 2020-08-18 |
| 1033662044 | Jennifer Jane Hook | Nurse Practitioner | 1525 Monterey Ct, Bettendorf, IA 52722-3755 | 2016-07-26 |
| 1639362734 | Gina L Frenell | Nurse Practitioner | 865 Lincoln Rd Ste 200, Bettendorf, IA 52722-4159 | 2007-08-22 |
| 1295721785 | Dawn M Nowell | Nurse Practitioner | 5683 Evergreen Pl, Bettendorf, IA 52722-5531 | 2005-09-21 |
| 1942206834 | Tracy L Rockey | Nurse Practitioner | 3740 Utica Ridge Rd, Suite B, Bettendorf, IA 52722-1657 | 2005-06-24 |
| 1912516881 | Lauren Elizabeth Rumburg | Nurse Practitioner | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2020-07-27 |
| 1609414010 | Nicole Linette Olson | Nurse Practitioner | 4480 Utica Ridge Rd Ste 1140, Bettendorf, IA 52722-1644 | 2019-12-16 |
| 1477105047 | Julie Ellen Wheeler | Nurse Practitioner | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722-2799 | 2019-07-12 |
| 1366001299 | Brittnee J Rodriguez | Nurse Practitioner | 2300 53rd Ave Ste 100, Bettendorf, IA 52722-7565 | 2019-06-13 |
| 1538628797 | Amanda Kay Sherrod | Nurse Practitioner | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 2019-03-18 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on CHELSIE BRUCK.
| 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.