BROOKE MARIE HEWER (NPI# 1821642646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821642646 |
| Entity Type | Individual |
| Full Name | BROOKE MARIE HEWER |
| Other Name | BROOKE MARIE KETELSEN |
| Credential | ARNP |
| Practice Address |
1632 Sycamore St Iowa City IA 52240-6044 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3193848822 |
| Mailing Telephone | 3193848822 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A154100 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A154200 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1632 Sycamore St, Iowa City, IA 522406044 | 3193848822 | |
| 201 S Clinton St # 168, Iowa City, IA 522404034 | 3193848822 | |
| 2510 Corridor Way Ste 6a, Coralville, IA 522417604 | 3193848822 | |
| 720 Pacha Pkwy Ste 1, North Liberty, IA 523174797 | 3193848822 | |
| 767 Mormon Trek Blvd, Iowa City, IA 522461812 | 3193848822 |
| Street Address |
1632 SYCAMORE ST |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-6044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1730731977 | Brandon C Dozier | Nurse Practitioner | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2019-07-09 |
| 1356824072 | Michelle Margaret Manternach | Nurse Practitioner | 1632 Sycamore St, Iowa City, IA 52240 | 2018-09-09 |
| 1417475971 | Heather Nicole Dommer | Nurse Practitioner | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2017-09-05 |
| 1043735962 | Trisha Hinke | Physician Assistant | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800091 | Aliza Scarlett Barkdoll | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-08-03 |
| 1356969612 | Emily Frances Sutton | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-13 |
| 1487271102 | Katherine Lynn Schroeder | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-29 |
| 1699391441 | Carolyn Verna Kay-buckelew | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-17 |
| 1457994360 | Amy Sue Bader Takes | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-10-23 |
| 1487209433 | Jessica Diane Young | Nurse Practitioner | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2019-08-07 |
| 1730731977 | Brandon C Dozier | Nurse Practitioner | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2019-07-09 |
| 1023583192 | Jessica Vann | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-10-04 |
| 1497241293 | Cassie Doolady | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-03 |
| 1730699851 | Rebecca Mary Harman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242 | 2017-10-03 |
| Find all providers in IOWA CITY | ||||
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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.