Individual provider Active NPI

Rachel Diane Hart, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1003672981
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G178381 Issued in IA
Practice address
2010 E 38TH St Ste 205
Davenport, IA 52807-1179
Phone
(319) 800-5564
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G178381 IA Primary

Addresses

Primary practice location

2010 E 38TH St Ste 205
Davenport, IA 52807-1179

Mailing address

2010 E 38TH St Ste 205
Davenport, IA 52807-1179
Phone (319) 800-5564

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250505000921 IA Practitioner - Nurse Practitioner 6406373471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynnway Counseling, LLCGroup PAC ID 2062939036, 2 clinicians

Practice addresses (Care Compare)

215 6TH Ave S
Suite 33
Clinton, IA 52732-4335
Phone (563) 221-2183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lynnway Counseling, LLC CurrentSince Mar 16, 2025 Accepting new patients

Locations

215 6th Ave S
Ste 33
Clinton, IA 52732
Phone (563) 221-2183

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1003672981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST STE 205",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071179",
            "telephone_number": "319-800-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST STE 205",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071179",
            "telephone_number": "319-800-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G178381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.