City of Essex

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2731000 Issued in IA

Legal business name

CITY OF ESSEX

Practice address

412 Iowa Ave.
Essex, IA 51638

Phone

(712) 379-3444

Fax

(712) 379-3415

NPI assigned

Jan 22, 2007

Organization subpart

Yes

Parent organization

CITY OF ESSEXAs reported in NPPES

Name

Mrs. Lisa Ann Royer, CMC

Title

City Clerk

Phone

(712) 379-3444

Medicare fee-for-service enrollment

Enrolled in IA

Part of

City of Essex

• Essex Fire and Rescue Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2008.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1124172028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 IOWA AVE",
            "address_2": "PO BOX 428",
            "city": "ESSEX",
            "state": "IA",
            "postal_code": "51638",
            "telephone_number": "712-379-3444",
            "fax_number": "712-379-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 IOWA AVE.",
            "city": "ESSEX",
            "state": "IA",
            "postal_code": "51638",
            "telephone_number": "712-379-3444",
            "fax_number": "712-379-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ESSEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF ESSEX",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-379-3444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2731000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120691",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "18392",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Lee Barth, LMHC, NCC
• Devin Kaylene Barth, LMHC, NCC
• Jeremy Burns
• Essex Community School District
• Teresa Lynn Isenhower-Moyer, PT/CPT
• Ric Rasmussen, PTA LMT
• Shenandoah Medical Center
• Kathleen L Silvestre

• All providers in Essex, IA
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.