Daniel Timothy Holthaus, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

H160217 Issued in IA

Practice address

1403 McKinley PL
Iowa City, IA 52246-4142

Phone

(563) 379-2100

NPI assigned

Oct 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_dholthau@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Landmark Medical of Tennessee PC

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1497409866
  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1003414004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MCKINLEY PL",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464142",
            "telephone_number": "563-379-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MCKINLEY PL",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464142",
            "telephone_number": "563-379-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "DANIEL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H160217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Holombo, PHARMD
• Anna Holowicki
• Christopher R Holt, MD
• Joshua B Holt, M.D.
• Lenore Ann Holte, PH.D., CCC-A
• Kayla Elizabeth Holthaus, MD
• Timothy J Holton, DDS MS
• Jordan Paul Homan, MD
• Charlie Chia Hsun Hong, CRNA
• Qiutong Hong

• Adult Health Nurse Practitioner in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Adult Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.