NPIMap

Organization Active NPI

Progressive Mental Health Solutions LLC

  • Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1043616154
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
G-115089 Issued in IA
Legal business name
PROGRESSIVE MENTAL HEALTH SOLUTIONS LLC
Practice address
505 5TH St
Suite 523
Sioux City, IA 51101-1500
Phone
(712) 224-3523
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Mrs. Farrah Marie Hassebroek, NP
Title
Owner
Phone
(712) 301-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X G-115089 IA Primary

Addresses

Primary practice location

505 5TH St
Suite 523
Sioux City, IA 51101-1500

Mailing address

505 5TH St
Suite 523
Sioux City, IA 51101-1500
Phone (712) 224-3523

National Provider Directory

National Provider Directory

Locations

505 5th St
Ste 523
Sioux City, IA 51101
Phone (712) 224-3523

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1043616154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST",
            "address_2": "SUITE 523",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011500",
            "telephone_number": "712-224-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST",
            "address_2": "SUITE 523",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011500",
            "telephone_number": "712-224-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MENTAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HASSEBROEK",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-301-1102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "G-115089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.