Active NPI
Reach for Your Potential, Inc
- Developmentally Disabled Services Day Training Agency
- Iowa City, IA
National Provider Identifier
1063569762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- REACH FOR YOUR POTENTIAL, INC
- Practice address
- 1705 S 1St Ave
Suite I
Iowa City, IA 52240-6006 - Phone
- (319) 354-2983
- Fax
- (319) 354-3221
- NPI assigned
- Jan 4, 2007
- 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
- Staci Humiston
- Title
- Executive Director
- Phone
- (319) 354-2983
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1705 S 1St Ave
Suite I
Iowa City, IA 52240-6006
Mailing address
1705 S 1St Ave
Suite I
Iowa City, IA 52240-6006
Phone (319) 354-2983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100727 | Medicaid | IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1094300 | Reach for Your Potential, Inc | Certificate of waiver | Jan 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1705 S 1st Ave
Ste I
Iowa City, IA 52240
Phone (319) 354-2983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672963200000",
"number": "1063569762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 S 1ST AVE",
"address_2": "SUITE I",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406006",
"telephone_number": "319-354-2983",
"fax_number": "319-354-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 S 1ST AVE",
"address_2": "SUITE I",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406006",
"telephone_number": "319-354-2983",
"fax_number": "319-354-3221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACH FOR YOUR POTENTIAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A",
"authorized_official_last_name": "HUMISTON",
"authorized_official_first_name": "STACI",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "319-354-2983"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100727",
"state": "IA"
}
],
"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 Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.