BROOKE NICOLE MACDOUGALL (NPI# 1801451554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801451554 |
| Entity Type | Individual |
| Full Name | BROOKE NICOLE MACDOUGALL |
| Credential | FNP |
| Practice Address |
1800 E 54th St Ste B Davenport IA 52807-2852 |
| Mailing Address |
4909 N Glen Park Place Rd Peoria IL 61614-4689 |
| Practice Telephone | 5633447546 |
| Practice Fax Number | 5633441373 |
| Mailing Telephone | 3096747546 |
| Mailing Fax Number | 3092822075 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A154405 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300a Park Ave, Muscatine, IA 527615444 | 5632632113 | 5632632619 |
| 2315 Roosevelt St, Clinton, IA 527322412 | 5632423571 | 5632434971 |
| Street Address |
1800 E 54TH ST STE B |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229262 | Katherine E. Asprey | Physician Assistant | 1800 E 54th St Ste B, Davenport, IA 52807-2852 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857222 | Caren R Nituda | Nurse Practitioner | 1051 Andalusia Loop, Davenport, FL 33837-1443 | 2020-10-05 |
| 1497360796 | Ashlee Elizabeth Winter | Nurse Practitioner | 1132 Elderberry Dr, Davenport, FL 33897-3853 | 2020-09-14 |
| 1932712080 | Ana Maria Delinski | Nurse Practitioner | 325 Nevada Loop Rd, Davenport, FL 33897-5611 | 2020-08-28 |
| 1508475369 | Kisha Kay Blunk | Nurse Practitioner | 5374 Eastern Ave Ste 100, Davenport, IA 52807-2719 | 2020-07-28 |
| 1184252447 | Jean Carlos Torres Davila | Nurse Practitioner | 296 Arbor Lakes Dr, Davenport, FL 33896-8167 | 2020-03-31 |
| 1760012835 | Angela Marie Escobar | Nurse Practitioner | 537 Westwind Dr, Davenport, FL 33896-6613 | 2020-01-17 |
| 1467091660 | Jennifer G Kirkland | Nurse Practitioner | 105 Park Place Blvd Ste A, Davenport, FL 33837-6870 | 2020-01-06 |
| 1831738483 | Jonathan Torres Pabon | Nurse Practitioner | 464 Sardinia Cir, Davenport, FL 33837-5863 | 2019-12-31 |
| 1477114460 | Christine Marie Pales | Nurse Practitioner | 2972 Bella Vista Dr, Davenport, FL 33897-3680 | 2019-06-21 |
| 1699235184 | Carol Laverne Anderson | Nurse Practitioner | 5229 Cortland Dr, Davenport, FL 33837-1763 | 2019-03-21 |
| Find all providers in DAVENPORT | ||||
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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.