Denise M Defalco-McGeein, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F-103719 Issued in IA

Practice address

4480 Utica Ridge Rd
Ste 1140
Bettendorf, IA 52722-1656

Phone

(563) 742-5700

Fax

(563) 742-5705

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Denise M Defalco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1184629107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "STE 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "STE 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFALCO-MCGEEIN",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209-003068",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F-103719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184629107",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "DEFALCO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connor Davenport, MD
• William Davidson III, M.D.
• Samuel Mark Davis, PHARMACIST
• Lori De Simone, PTA
• Victor Lloyd Dean IV, BS, MS, DC
• Mary Ann Defrance, MD
• Morgan Whitney Deggendorf, ARNP
• Mary Catherine Deitrick, PARAMEDIC
• Linda M Delessio, MD
• Terra Gene Demien

• Women's Health Nurse Practitioner in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Women's Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.