Roxann Jean Hackbarth
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Milford, IA
NPI 1124301023 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1124301023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- G-092068 (IA)
- Practice address
- 1004 21St St
Suite #3
Milford, IA 51351-7421 - Phone
- (712) 338-6911
- NPI assigned
- Sep 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G-092068 | IA | Yes |
Addresses
Primary practice location
1004 21St St
Suite #3
Milford, IA 51351-7421
Mailing address
PO Box 207
Suite #3
Milford, IA 51351-0207
Other providers in Milford, IA
- Eckard Chiropractic
- Eckard Chiropractic LLC
- Kurt D Eckard
- Matthew Eckard
- Elevate Therapy & Assessment, PLLC
- Hawkeye Care Centers, Inc
- Hawkeye Care Centers, Inc
- Hicks Family Healthcare, LLC
- Jamie L Hicks
- Andrea Holmquist
All providers in Milford, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.