Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kassidee Church

Individual provider Primary Care Nurse Practitioner · NPI 1306790233

Kassidee Church is a Nurse Practitioner in Davenport, Iowa. Qualified in 2025, 1 year ago. Practices with Genesis Health System, a 262-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2026

Practice location Address checks out

1228 E Rusholme St Mob 1 Ste 2100
Davenport, IA 52803-2453
Phone: (563) 421-8460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence H189738 (IA)

Record details

NPI number1306790233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address1406 35th Ave, Rock Island, IL 61201-6102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Genesis Health System — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Davenport