Active NPI
Jered Flinkman, FPMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Mitchellville, IA
National Provider Identifier
1104459254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G156096
- Practice address
- 420 Mill St SW
Mitchellville, IA 50169-7702 - Phone
- (515) 725-5241
- NPI assigned
- Feb 18, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G156096 | IA | Primary |
Addresses
Primary practice location
420 Mill St SW
Mitchellville, IA 50169-7702
Mailing address
420 Mill St SW
Mitchellville, IA 50169-7702
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G156096 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1104459254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 MILL ST SW",
"city": "MITCHELLVILLE",
"state": "IA",
"postal_code": "501697702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 MILL ST SW",
"city": "MITCHELLVILLE",
"state": "IA",
"postal_code": "501697702",
"telephone_number": "515-725-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINKMAN",
"first_name": "JERED",
"credential": "FPMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G156096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.