KELLY MOELLER (NPI# 1790192722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192722 |
| Entity Type | Individual |
| Full Name | KELLY MOELLER |
| Practice Address |
905 Franklin St Waterloo IA 50703-4407 |
| Practice Telephone | 3192724300 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0076372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656858 | Kelly Alicia Hunt Moeller | Physician Assistant | 1806 E End Blvd N Ste 1300, Marshall, TX 75670-0734 | 2011-10-19 |
| 1801213707 | Kelly R Moeller | Social Worker | 27802 Bogen Rd, New Braunfels, TX 78132-3875 | 2014-03-28 |
| Street Address |
905 FRANKLIN ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421954 | Heidi M Bonthuis | Physician Assistant | 905 Franklin St, Waterloo, IA 50703-4407 | 2005-07-14 |
| 1538716980 | Zuhra Husidic | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2019-08-21 |
| 1154800332 | Melody K Kern | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-08-09 |
| 1376021451 | Deborah Yu | Dentist | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-08-01 |
| 1881184216 | Sahara Pradhan | Dentist | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-05-10 |
| 1811425937 | Dawn R Davies | Registered Nurse | 905 Franklin St, Waterloo, IA 50703-4407 | 2017-06-02 |
| 1033661657 | Teresa Boring | Dietitian, Registered | 905 Franklin St, Waterloo, IA 50703-4407 | 2016-10-31 |
| 1023481223 | Stephanie Chamberlin | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-11-10 |
| 1689044224 | Emily Louise Horrigan | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-09-25 |
| 1063896629 | Amy Thurm | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932119 | Katherine Wheeler | Social Worker | 12 E River St, Waterloo, NY 13165-1733 | 2020-08-13 |
| 1174068829 | Jessica Wood I | Social Worker | 35 Stewart St, Waterloo, NY 13165-1620 | 2017-01-04 |
| 1063738086 | Desiree K Cunningham-loggins | Social Worker | 917 W 4th St, Waterloo, IA 50702-2801 | 2010-04-15 |
| 1861533085 | Jane Philis Nelson | Social Worker | 610 Allen Street, Bishop House, Waterloo, IA 50701 | 2007-02-09 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1740802180 | Empower U Counseling, LLC | Social Worker | 5203 Kk Rd, Waterloo, IL 62298-3415 | 2020-05-07 |
| 1306482054 | Megan Manaco | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-11-18 |
| 1811557770 | Freese Counseling LLC | Social Worker | 110 Plaza Cir Ste B, Waterloo, IA 50701-5139 | 2019-06-13 |
| 1548732498 | Rebecca Ann Reed | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2018-12-17 |
| 1356837587 | Dina Plum | Social Worker | 1420 W Donald St, Waterloo, IA 50703-1624 | 2018-07-11 |
| Find all providers in WATERLOO | ||||
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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.