Active NPI
Aci Medicine
- Nurse Practitioner
- Bettendorf, IA
National Provider Identifier
1013328673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A128168
- Legal business name
- ACI MEDICINE
- Practice address
- 880 Tanglefoot LN
Bettendorf, IA 52722-1605 - Phone
- (309) 678-4372
- NPI assigned
- May 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Snider, NP
- Title
- Manager
- Phone
- (130) 967-4372
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A128168 | IA | Primary |
Addresses
Primary practice location
880 Tanglefoot LN
Bettendorf, IA 52722-1605
Mailing address
880 Tanglefoot LN
Bettendorf, IA 52722-1605
Phone (309) 678-4372
National Provider Directory
National Provider DirectoryLocations
880 Tanglefoot Ln
Bettendorf, IA 52722
Phone (309) 285-8212
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400112000000",
"number": "1013328673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 TANGLEFOOT LN",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221605",
"telephone_number": "309-678-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 TANGLEFOOT LN",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221605",
"telephone_number": "309-678-4372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACI MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-15",
"last_updated": "2014-05-15",
"status": "A",
"authorized_official_last_name": "SNIDER",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "130-967-4372",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A128168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.