JESSICA ELLEN PIFKIN (NPI# 1861778508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861778508 |
| Entity Type | Individual |
| Full Name | JESSICA ELLEN PIFKIN |
| Other Name | JESSICA ELLEN MOYE |
| Credential | ARNP |
| Practice Address |
2140 Logan Ave Ste B Waterloo IA 50703-1002 |
| Practice Telephone | 3192268470 |
| Mailing Telephone | 3192268470 |
| Mailing Fax Number | 3192268475 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-116473 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1861778502 | 05 |
| Street Address |
2140 LOGAN AVE STE B |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1002 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020297 | Skye Aileen Warren | Nurse Practitioner | 5685 Summerland Dr, Waterloo, IA 50701-9597 | 2020-07-13 |
| 1255980710 | Stephanie Lynn Muertz | Nurse Practitioner | 6461 Old Orchard Ln, Waterloo, IL 62298-2136 | 2019-09-08 |
| 1760942767 | Christina E Lambert | Nurse Practitioner | 437 Alpine Dr, Waterloo, IL 62298-1086 | 2019-03-25 |
| 1235616293 | Nicole Christine Miller | Nurse Practitioner | 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 | 2018-07-23 |
| 1285129023 | Lindsay Ann Nie | Nurse Practitioner | 2140 Logan Ave, Waterloo, IA 50703-1020 | 2018-06-25 |
| 1376065318 | Nickayla L Giesemann | Nurse Practitioner | 212 W Dale St Ste 101, Waterloo, IA 50703-1900 | 2017-07-12 |
| 1831553908 | Theresa Mcfadin | Nurse Practitioner | 6100 Illini Trl, Waterloo, IL 62298-3547 | 2016-04-05 |
| 1376882647 | Shanna Witges | Nurse Practitioner | 509 Hamacher St Ste 102, Waterloo, IL 62298-1592 | 2013-02-06 |
| 1952640369 | Kimberly Elaine Glasgow | Nurse Practitioner | 1655 E San Marnan Dr Ste H, Waterloo, IA 50702-4378 | 2013-02-05 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 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.