JESSICA LEE STREETER (NPI# 1952810087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952810087 |
| Entity Type | Individual |
| Full Name | JESSICA LEE STREETER |
| Other Name | JESSICA MALLAMS |
| Credential | DNP |
| Practice Address |
405 Monroe St Pella IA 50219-1189 |
| Mailing Address |
405 Monroe St Pella IA 50219-1290 |
| Practice Telephone | 6416212200 |
| Practice Fax Number | 6416212335 |
| Mailing Telephone | 6416212200 |
| Mailing Fax Number | 6416212335 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | H131232 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | LICENSE | A154083 | 01 |
| IA | NPI | 1952810087 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488471 | Jessica Dawn Streeter | Social Worker | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2018-05-19 |
| Street Address |
405 MONROE ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557411 | Dale Lee Lensing | Obstetrics & Gynecology | 405 Monroe St, Pella, IA 50219-1189 | 2005-06-08 |
| 1932619475 | Pella Regional Health Center Clinic Pharmacy | Pharmacy | 405 Monroe St, Pella, IA 50219 | 2017-10-11 |
| 1740649300 | Tamara Jean Pommer | Physical Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-11 |
| 1750740361 | Janna Marie Hansen-nolin | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-11 |
| 1487013017 | Tara Dawn Temperly-leidigh | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1275991804 | Jacklyn Sue Lowe | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1487012001 | Amy Jean Herdegen | Physical Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1225496854 | Sarah Christine Vogel | Occupational Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1528434859 | Mindy Baccam Southammavong | Physician Assistant | 405 Monroe St, Pella, IA 50219-1189 | 2015-08-20 |
| 1275922908 | Jana Renee Rus | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2015-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
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| 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 |
|---|---|---|---|---|
| 1801893250 | Jill Marian Konfrst | Nurse Practitioner | 412 E Oskaloosa St, Pella, IA 50219-2208 | 2005-06-30 |
| 1699176297 | Laci Ann Dykstra | Nurse Practitioner | 615 Washington St, Pella, IA 50219-1538 | 2014-09-15 |
| 1518374446 | Molly Engelhart | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2014-07-11 |
| 1710013719 | Van Hemert Chiropractic Center, P.C. | Nurse Practitioner | 1310 Washington St, Pella, IA 50219-1512 | 2007-02-26 |
| 1912938382 | Sheila K Punt | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508722 | Tlc Healthcare LLC | Nurse Practitioner | 202 N Main St Ste A, Monticello, IA 52310-1746 | 2020-11-06 |
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1427662832 | Schreiber Health Services Pllc | Nurse Practitioner | 8450 Hickman Rd Ste 16, Clive, IA 50325-4307 | 2020-09-02 |
| 1720606841 | Kristen Roberts | Nurse Practitioner | 108 Monroe St, Grand River, IA 50108-7510 | 2020-07-07 |
| 1437776747 | Michelle Gillitzer | Nurse Practitioner | 2450 Coral Ct, Coralville, IA 52241-2975 | 2020-07-02 |
| 1487271904 | Lynette Prickett | Nurse Practitioner | 15346 Dodgeville Rd, Sperry, IA 52650-9623 | 2020-06-30 |
| 1891311650 | Tiffany Amber Zieser | Nurse Practitioner | 1383 Fontana Blvd, Hazleton, IA 50641-5064 | 2020-06-17 |
| 1790300648 | Kdp Management Services LLC | Nurse Practitioner | 7109 Holcomb Ave, Urbandale, IA 50322-4740 | 2020-06-16 |
| 1982228920 | Samantha Quelland | Nurse Practitioner | 4090 Westown Pkwy # 106, West Des Moines, IA 50266-6760 | 2020-06-05 |
| 1841823622 | Melissa Lynn Coulter | Nurse Practitioner | 202 10th St Se Ste 165, Cedar Rapids, IA 52403-2433 | 2020-02-19 |
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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.