Iowa Nurse Practitioner Associates, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

115825 Issued in IA

Legal business name

IOWA NURSE PRACTITIONER ASSOCIATES, P.C.

Practice address

1700 S 1St Ave
Suite 21
Iowa City, IA 52240-6036

Phone

(319) 899-2529

NPI assigned

Jan 7, 2009

Last updated

Jan 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert William Detlefsen, RN, MS, FPMH-NP

Title

Psychiatric Nurse Practitioner

Phone

(319) 899-2529

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1013153436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S 1ST AVE",
            "address_2": "SUITE 21",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406036",
            "telephone_number": "319-899-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 1ST AVE",
            "address_2": "SUITE 21",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406036",
            "telephone_number": "319-899-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA NURSE PRACTITIONER ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DETLEFSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "319-899-2529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MS, FPMH-NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "115825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730648",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa City VA Health Care System
• Iowa City VA Medical Center
• Iowa CVS Pharmacy LLC (CVS Pharmacy # 08539)
• Iowa CVS Pharmacy LLC (CVS Pharmacy)
• Iowa Foot & Ankle Center, PC
• Abeer Sami Iqbal, MD
• Kaikobad Irani, MD
• Alexis Ireland, PHARMD, RPH
• Iridescent Therapy PLLC
• Amanda K Irish, MD

• Community/Behavioral Health Agency in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.