Individual provider Active NPI

Nia Nobes Ortmann, PHARM.D.

  • Pharmacist
  • Dubuque, IA
National Provider Identifier
1164684361
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007025 Issued in NM
Practice address
7425 Chavenelle Rd
Dubuque, IA 52002-9568
Phone
(563) 588-8709
Fax
(505) 299-8609
NPI assigned
Jun 28, 2008
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007025 NM Primary

Addresses

Primary practice location

7425 Chavenelle Rd
Dubuque, IA 52002-9568

Mailing address

2910 Juan Tabo Blvd NE
Albuquerque, NM 87112-1828
Phone (505) 299-8600

Other identifiers 1

IdentifierTypeStateIssuer
64683MedicaidNM

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP00007025NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1164684361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121828",
            "telephone_number": "505-299-8600",
            "fax_number": "505-299-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 CHAVENELLE RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520029568",
            "telephone_number": "563-588-8709",
            "fax_number": "505-299-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTMANN",
        "first_name": "NIA",
        "middle_name": "NOBES",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64683",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.