CARMEN MUNDT (NPI# 1912381443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912381443 |
| Entity Type | Individual |
| Full Name | CARMEN MUNDT |
| Credential | ARNP |
| Practice Address |
1753 W Ridgeway Ave Ste 107 Waterloo IA 50701-4544 |
| Mailing Address |
Po Box 2758 4150 Kimball Avenue Waterloo IA 50704-2758 |
| Practice Telephone | 3198335907 |
| Practice Fax Number | 3198335908 |
| Mailing Telephone | 3192355390 |
| Mailing Fax Number | 3192331630 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | H091730 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1753 W RIDGEWAY AVE STE 107 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915483 | Jayalakshmi Murugaian | Family Medicine | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2006-01-06 |
| 1235589656 | Robin Marie Pattison | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2016-06-16 |
| 1134580657 | Nicole D Slater | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 102, Waterloo, IA 50701-4544 | 2016-03-10 |
| 1942606868 | Robin Elizabeth Farley | Specialist/Technologist, Other | 1753 W Ridgeway Ave, Suite103b, Waterloo, IA 50701-4544 | 2014-11-05 |
| 1891039202 | Sara Nicole O'brien | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4544 | 2012-11-26 |
| 1841434313 | Rebecca L. Chittenden | Physician Assistant | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2009-04-28 |
| 1699924407 | Crystal Dawn Schrader | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 105, Waterloo, IA 50701-4544 | 2008-09-17 |
| 1811021298 | Jessica J Curcio | Naturopath | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2007-03-15 |
| 1699848481 | Cedar Valley Medical Specialists, P.C. | Durable Medical Equipment & Medical Supplies | 1753 W Ridgeway Ave, Suite104, Waterloo, IA 50701-4544 | 2006-11-17 |
| 1285722041 | Sara Beth Harnack | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4588 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183368 | Jene Michelle Beck | Nurse Practitioner | 111 Maryland Ave, Waterloo, IA 50701-4129 | 2020-01-08 |
| 1104340884 | Elisabeth M. Heying | Nurse Practitioner | 212 W Dale St Ste 102, Waterloo, IA 50703-1900 | 2017-08-03 |
| 1346609559 | Theresa Rae Borcherding | Nurse Practitioner | 1753 W Ridgeway Ave Ste 104, Waterloo, IA 50701-4588 | 2016-02-16 |
| 1659564664 | Physical Medicine & Rehabilitation Associates of Northeast Iowa Inc | Nurse Practitioner | 36 W Park Lane, Waterloo, IA 50701-5178 | 2007-08-22 |
| 1659312254 | Mary Ann Amend | Nurse Practitioner | 146 W Dale St Ste 201, Waterloo, IA 50703-1901 | 2006-06-08 |
| 1235182627 | Kari Nicole Haislet | Nurse Practitioner | 419 E Donald Street, Waterloo, IA 50703-1223 | 2006-05-18 |
| 1952362683 | Annette Christine Geary | Nurse Practitioner | 3812 Pheasant Ln, Waterloo, IA 50701-5200 | 2006-03-31 |
| 1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
| 1952935082 | Erica Alexandra Podhajsky | Nurse Practitioner | 419 E Donald St, Waterloo, IA 50703-1500 | 2020-02-27 |
| 1730712985 | Elizabeth Marie Smith | Nurse Practitioner | 367 E Main St Ste A, Waterloo, NY 13165-1643 | 2020-02-17 |
| 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.