Active NPI
Jeni R Nash, L.I.S.W.
- Social Worker
- Urbandale, IA
National Provider Identifier
1073789251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 06372
- Practice address
- 2327 70TH St
Urbandale, IA 50322-4825 - Phone
- (515) 221-8194
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 06372 | IA | Primary |
Addresses
Primary practice location
2327 70TH St
Urbandale, IA 50322-4825
Mailing address
2327 70TH St
Urbandale, IA 50322-4825
Phone (515) 221-8194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06372 | IA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1073789251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 70TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224825",
"telephone_number": "515-221-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 70TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224825",
"telephone_number": "515-221-8194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "JENI",
"middle_name": "R",
"credential": "L.I.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "06372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.