Active NPI
Roxann Jean Hackbarth
- Psychiatric/Mental Health Nurse Practitioner
- Milford, IA
National Provider Identifier
1124301023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G-092068
- Practice address
- 1004 21St St
Suite #3
Milford, IA 51351-7421 - Phone
- (712) 338-6911
- NPI assigned
- Sep 27, 2011
- Last updated
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | G-092068 | IA | Primary |
Addresses
Primary practice location
1004 21St St
Suite #3
Milford, IA 51351-7421
Mailing address
PO Box 207
Suite #3
Milford, IA 51351-0207
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 |
|---|---|---|---|
| G-092068 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Mental Health Center | Past | Accepting new patients | |
| Northwest Iowa Mental Health Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Exclusive Provider Organization
- Milford, IA
- NPI 1306230008
-
dba Seasons Center for Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spencer, IA
- NPI 1356198675
-
dba Seasons Center for Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spencer, IA
- NPI 1689669459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1124301023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"address_2": "SUITE #3",
"city": "MILFORD",
"state": "IA",
"postal_code": "513510207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 21ST ST",
"address_2": "SUITE #3",
"city": "MILFORD",
"state": "IA",
"postal_code": "513517421",
"telephone_number": "712-338-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKBARTH",
"first_name": "ROXANN",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G-092068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, IA
- Eckard Chiropractic
- Eckard Chiropractic LLC
- Kurt D Eckard, D.C.
- Matthew Eckard, DC
- Elevate Therapy & Assessment, PLLC
- Hawkeye Care Centers, Inc (Hawkeye Assisted Living Milford)
- Hawkeye Care Centers, Inc (Hawkeye Care Center Milford)
- Hicks Family Healthcare, LLC
- Jamie L Hicks, CNP
- Andrea Holmquist, ARNP, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.