Provider Demographics
NPI:1023399011
Name:CARTER, TASSIE ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:TASSIE
Middle Name:ANN
Last Name:CARTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 7TH ST
Mailing Address - Street 2:PLANNED PARENTHOOD OF THE HEARTLAND
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2505
Mailing Address - Country:US
Mailing Address - Phone:515-280-7000
Mailing Address - Fax:515-280-9525
Practice Address - Street 1:1766 CENTRAL AVE
Practice Address - Street 2:PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3607
Practice Address - Country:US
Practice Address - Phone:563-583-4692
Practice Address - Fax:563-583-1396
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA110578363LW0102X, 363L00000X, 363LC1500X, 363LF0000X
IA2011008067363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAGROUP0057570Medicaid