Active NPI
Beth Wellman
- Community Health Worker
- Iowa City, IA
National Provider Identifier
1013218569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 004271
- Practice address
- 601 Hollywood Blvd
Iowa City, IA 52240-4481 - Phone
- (319) 338-0581
- NPI assigned
- Nov 14, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 004271 | IA | Primary |
Addresses
Primary practice location
601 Hollywood Blvd
Iowa City, IA 52240-4481
Mailing address
2889 Highway 218
Montrose, IA 52639-9534
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 |
|---|---|---|---|
| 004271 | IA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289692800000",
"number": "1013218569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2889 HIGHWAY 218",
"city": "MONTROSE",
"state": "IA",
"postal_code": "526399534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HOLLYWOOD BLVD",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522404481",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMAN",
"first_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-14",
"last_updated": "2010-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IA",
"license": "004271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.