Individual provider Active NPI

Kelli Lynn Schultz, NP

  • Family Nurse Practitioner
  • Clinton, IA
National Provider Identifier
1144220070
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-088179 Issued in IA
Practice address
240 N Bluff Blvd
Suite 200
Clinton, IA 52732-7160
Phone
(563) 243-0100
Fax
(563) 243-0550
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-088179 IA Primary

Addresses

Primary practice location

240 N Bluff Blvd
Suite 200
Clinton, IA 52732-7160

Mailing address

240 N Bluff Blvd
Suite 200
Clinton, IA 52732-7160
Phone (563) 243-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-088179IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital CurrentSince Mar 22, 2020 Accepting new patients
Ahmed Elahmady PC CurrentSince Mar 2, 2015 Accepting new patients
Ahmed Elahmady PC CurrentSince Mar 2, 2015 Accepting new patients
The Finley Hospital Family CurrentSince Mar 22, 2020 Accepting new patients

Locations

2745 Lincoln Way
Clinton, IA 52732
Phone (563) 242-3208

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

8456 Peosta Commercial Ct
Peosta, IA 52068
Phone (563) 557-2920

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1144220070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N BLUFF BLVD",
            "address_2": "SUITE 200",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327160",
            "telephone_number": "563-243-0100",
            "fax_number": "563-243-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N BLUFF BLVD",
            "address_2": "SUITE 200",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327160",
            "telephone_number": "563-243-0100",
            "fax_number": "563-243-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-088179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.