JACQUELINE K HARRIS (NPI# 1962485813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962485813 |
| Entity Type | Individual |
| Full Name | JACQUELINE K HARRIS |
| Credential | ARNP |
| Practice Address |
101 W Washington St Montezuma IA 50171-7739 |
| Mailing Address |
Po Box 430 Montezuma IA 50171-0430 |
| Practice Telephone | 6416235690 |
| Mailing Telephone | 6416235690 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A093734 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1962485813 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717448 | Jacqueline Harris | Counselor | 4708 Mallard Creek Dr, Greensboro, NC 27405-2782 | 2020-03-29 |
| 1205116589 | Jacqueline Renee Harris | Occupational Therapy Assistant | 7887 N 16th St, Unit #125, Phoenix, AZ 85020-4417 | 2011-08-18 |
| 1376777094 | Jacqueline Rae Harris | Speech-Language Pathologist | 12441 Highway 26, Riverton, WY 82501-9256 | 2009-05-09 |
| 1740429273 | Jacqueline Denise Harris | Licensed Practical Nurse | 8257 N 51st St, Brown Deer, WI 53223-3512 | 2009-02-06 |
| 1073771762 | Jacqueline D Harris | Family Medicine | 815 Weldon Rd, Palmetto, GA 30268-1667 | 2008-05-29 |
| 1417143231 | Jacqueline Ann Harris | Psychiatry & Neurology | 33 Baldwin Rd, Newtown, CT 06470-2003 | 2007-09-16 |
| 1447453220 | Jacqueline Harris | Student in an Organized Health Care Education/Training Program | 11638 Danforth Dr, Sterling Heights, MI 48312-2124 | 2007-06-07 |
| 1700893518 | Jacqueline E Harris | Specialist | 107 Seagrass Station Road, Bluffton, SC 29910-3110 | 2006-08-02 |
| 1649730565 | Jacqueline Elizabeth Harris | Student in an Organized Health Care Education/Training Program | 2233 Post St, San Francisco, CA 94115-3470 | 2019-03-25 |
| 1366926917 | Jacqueline Harris | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2018-09-19 |
| Street Address |
101 W WASHINGTON ST |
| City | MONTEZUMA |
| State | IA |
| Zip Code | 50171-7739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407155948 | Melinda Sue Mcnaul | Nurse Practitioner | 101 W Washington St, Montezuma, IA 50171-7739 | 2011-03-23 |
| 1972586725 | James B Paulson | Family Medicine | 101 W Washington St, Montezuma, IA 50171 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778253 | Nudak Ventures LLC | Pharmacy | 323 E Main Street, Montezuma, IA 50171 | 2017-08-31 |
| 1871759662 | Remedy Drug Inc | Pharmacy | 323 E Main, Montezuma, IA 50171 | 2008-08-01 |
| 1134300700 | Montezuma Community School District | Private Vehicle | 508 North 4th St, Box 580, Montezuma, IA 50171 | 2007-11-23 |
| 1922113950 | Alexander Drug Co Inc | Pharmacy | 323 E Main St, Montezuma, IA 50171 | 2006-08-20 |
| 1851712376 | Monte Pharmacies LLC | Pharmacy | 323 East Main Street, Montezuma, IA 50171 | 2013-12-31 |
| 1467548636 | City of Montezuma | Ambulance | 503 E Main St, Montezuma, IA 50171-0314 | 2006-10-05 |
| 1134208143 | Samuel Mummey IIi | Dentist | 303 S 4th St, Montezuma, IA 50171-0699 | 2006-11-02 |
| 1164761698 | Diamond Trail Dental PC | Clinic/Center | 301 S. 4th St., Montezuma, IA 50171-1031 | 2013-02-04 |
| 1619280419 | Sara Erselius | Social Worker | 705 E Main St, Montezuma, IA 50171-1043 | 2010-07-21 |
| 1851364962 | Care Initiatives | Skilled Nursing Facility | 316 Meadow Lane Dr, Montezuma, IA 50171-1114 | 2006-02-09 |
| Find all providers in zip 50171 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578432 | Priscilla Sumerlin | Nurse Practitioner | 320 Adventureland Dr Nw, Altoona, IA 50009-4234 | 2020-11-06 |
| 1487251260 | Jonna Lox | Nurse Practitioner | 14811 Walnut Meadows Dr, Urbandale, IA 50323-2734 | 2020-10-05 |
| 1235656000 | Angela Marie Schmitz | Nurse Practitioner | 3421 W 9th St Ste 104, Waterloo, IA 50702-5401 | 2017-08-23 |
| 1992259642 | Heather M Hitesman | Nurse Practitioner | 1351 W. Central Park, Suite 3300, Davenport, IA 52804-1889 | 2016-08-11 |
| 1821497538 | Dana Marie Jacobs | Nurse Practitioner | 102 W. Mcmurray Street, Prairie City, IA 50228 | 2014-08-19 |
| 1841800091 | Aliza Scarlett Barkdoll | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-08-03 |
| 1104436575 | Benjamin Denich | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2020-07-31 |
| 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 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
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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.