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Kristine M Staheli Jackson

Non-Pharmacy Dispensing Site in Dubuque, IA · enumerated 2006 · authorized official Gary Gansemer, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205847845

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Registry record

Entity type Organization (Type 2)
Legal business name Kristine M Staheli Jackson
Practice address Hillcrest Family Services Clinic, 220 W 7th St, Dubuque, IA, 52001
Fax (563) 557-4447
Enumeration date Aug 10, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License F066142 (IA) Primary

Authorized official

Name Gary Gansemer
Title Ceo

Other identifiers

Identifier Type State Issuer
0140087 Medicaid IA -
1621653 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Kristine M Staheli Jackson located?
The practice location on file with NPPES is in Dubuque, IA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.