Individual provider Active NPI

Anel Omeragic, LPN

  • Licensed Practical Nurse
  • West Des Moines, IA
National Provider Identifier
1013343987
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
P57006 Issued in IA
Practice address
6440 Ep True Pkwy Unit 1202
West Des Moines, IA 50266-5248
Phone
(515) 783-8503
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P57006 IA Primary

Addresses

Primary practice location

6440 Ep True Pkwy Unit 1202
West Des Moines, IA 50266-5248

Mailing address

6440 Ep True Pkwy Unit 1202
West Des Moines, IA 50266-5248
Phone (515) 783-8503

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

LicenseStateTypeSpecialty
P57006IAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1013343987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 EP TRUE PKWY UNIT 1202",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665248",
            "telephone_number": "515-783-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 EP TRUE PKWY UNIT 1202",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665248",
            "telephone_number": "515-783-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMERAGIC",
        "first_name": "ANEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P57006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.