Individual provider Active NPI

Kristi Sue Allison, CNM

  • Advanced Practice Midwife
  • Waterloo, IA
National Provider Identifier
1174033401
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B138272 Issued in IA
Practice address
3421 W 9TH St Ste G4500
Waterloo, IA 50702-5401
Phone
(319) 272-8200
Fax
(319) 272-0400
NPI assigned
Sep 29, 2017
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X B138272 IA Primary

Addresses

Primary practice location

3421 W 9TH St Ste G4500
Waterloo, IA 50702-5401

Mailing address

3421 W 9TH St Ste G4500
Waterloo, IA 50702-5401
Phone (319) 272-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000853 IA Practitioner - Certified Nurse Midwife (CNM) 4082970983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

2004 Enterprise CT
Mercyone Independence Family Medicine
Independence, IA 50644-9611
Phone (319) 332-1540

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

3421 W 9TH St
Waterloo, IA 50702-5401

432 King Dr
Waterloo, IA 50702-5956
Phone (319) 272-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
B138272IAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince Nov 8, 2017 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Nov 8, 2017 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Covenant Medical Center Inc Past Accepting new patients

Locations

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

2004 Enterprise Ct
Independence, IA 50644
Phone (319) 332-1540

129 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-6153

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

3421 W 9th St
Ste G4500
Waterloo, IA 50702
Phone (319) 233-8865

432 King Dr
Waterloo, IA 50702
Phone (319) 234-5764

217 20th St NW
Waverly, IA 50677
Phone (319) 352-9500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1174033401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST STE G4500",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8200",
            "fax_number": "319-272-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST STE G4500",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8200",
            "fax_number": "319-272-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "KRISTI",
        "middle_name": "SUE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B138272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.