Active NPI
Theresa Dianne Hohertz, ARNP
- Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1093944514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F-098172
- Practice address
- 1221 Pleasant St Ste 400
Des Moines, IA 50309-1426 - Phone
- (515) 875-9290
- Fax
- (515) 241-4162
- NPI assigned
- Jul 6, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F-098172 | IA | Primary |
Addresses
Primary practice location
1221 Pleasant St Ste 400
Des Moines, IA 50309-1426
Mailing address
7147 Vista Dr Ste 150
West Des Moines, IA 50266-9317
Phone (515) 875-9255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | theresahohertz@tic.allscriptsdirect.net | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-098172 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1093944514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7147 VISTA DR STE 150",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502669317",
"telephone_number": "515-875-9255",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST STE 400",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091426",
"telephone_number": "515-875-9290",
"fax_number": "515-241-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOHERTZ",
"first_name": "THERESA",
"middle_name": "DIANNE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "F-098172",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "theresahohertz@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1221 Pleasant St Ste 400",
"city": "Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "503091426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.