LACEY RAE CHEESEMAN (NPI# 1851831499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851831499 |
| Entity Type | Individual |
| Full Name | LACEY RAE CHEESEMAN |
| Other Name | LACEY RAE COQUELIN |
| Credential | ARNP |
| Practice Address |
3200 Grand Ave # 6 Des Moines IA 50312-4104 |
| Mailing Address |
701 Nw Boulder Brook Dr Ankeny IA 50023-8725 |
| Practice Telephone | 5152446162 |
| Mailing Telephone | 5154237533 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A109462 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3200 GRAND AVE # 6 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1508477316 | Frederick James Nesbit IIi | Nurse Practitioner | 500 N Valley Dr Unit 804, Des Moines, IA 50312-1625 | 2020-08-14 |
| 1992322465 | Angela Monique Dudley | Nurse Practitioner | 3412 Crestmoor Pl, Des Moines, IA 50310-5011 | 2020-07-01 |
| 1952944910 | Tina Marie Vosberg | Nurse Practitioner | 400 Locust St Ste 400, Des Moines, IA 50309-2352 | 2019-10-22 |
| 1568968121 | Maria Theresa Latoja-lovan | Nurse Practitioner | 2508 East 48th Street, None, Des Moines, IA 50317-4736 | 2018-04-03 |
| 1346784808 | Ashley Grace Brown | Nurse Practitioner | 2105 Ingersoll Ave Ste 101, Des Moines, IA 50312-5201 | 2016-12-16 |
| 1811354483 | Renea Lynn Kestel | Nurse Practitioner | 1200 University Ave Ste 1200, Des Moines, IA 50314-2343 | 2016-01-27 |
| 1649658014 | Megan Bradley | Nurse Practitioner | 4020 Merle Hay Rd Ste 100, Des Moines, IA 50310-1310 | 2015-05-18 |
| 1245624626 | Blake C Williams | Nurse Practitioner | 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 | 2015-03-24 |
| 1285046516 | Angela Blankenship | Nurse Practitioner | 2504 E 48th St, Des Moines, IA 50317-4736 | 2014-05-21 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on LACEY RAE CHEESEMAN.
| 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.