NPIMap

Organization Active NPI

Blank Childrens Hospital

  • Pediatric Nurse Practitioner
  • Pleasant Hill, IA
National Provider Identifier
1063758605
Registry record updated Jan 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C-119097 Issued in IA
Legal business name
BLANK CHILDRENS HOSPITAL
Practice address
6540 NE 12TH Ave
Pleasant Hill, IA 50327-8828
Phone
(515) 266-6795
NPI assigned
Jan 1, 2013
Last updated
Jan 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2013

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

Authorized official

Name
Dr. Ken Cheyne
Title
Physician
Phone
(515) 241-8198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C-119097 IA Primary

Addresses

Primary practice location

6540 NE 12TH Ave
Pleasant Hill, IA 50327-8828

Mailing address

1200 Pleasant St
Des Moines, IA 50309-1406

National Provider Directory

National Provider Directory
Tax ID family
Unity Point Health Blank Childrens Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

6540 NE 12th Ave
Pleasant Hill, IA 50327
Phone (515) 266-6795

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356998400000",
    "number": "1063758605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 NE 12TH AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278828",
            "telephone_number": "515-266-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANK CHILDRENS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2013-01-01",
        "status": "A",
        "authorized_official_last_name": "CHEYNE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "515-241-8198",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-119097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.