Active NPI
Kristin Decook
- Pharmacist
- Marshalltown, IA
National Provider Identifier
1003449505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23074
- Practice address
- 802 S Center St
Marshalltown, IA 50158-3350 - Phone
- (641) 752-2266
- Fax
- (641) 752-1703
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23074 | IA | Primary |
Addresses
Primary practice location
802 S Center St
Marshalltown, IA 50158-3350
Mailing address
1427 S 15TH Ave W
Newton, IA 50208-4312
Phone (641) 521-3815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23074 | IA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1003449505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 S 15TH AVE W",
"city": "NEWTON",
"state": "IA",
"postal_code": "502084312",
"telephone_number": "641-521-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 S CENTER ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501583350",
"telephone_number": "641-752-2266",
"fax_number": "641-752-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOOK",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.