Active NPI
Kara Jan Reis, ARNP
- Nurse Practitioner
- Grimes, IA
National Provider Identifier
1205314440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A117479
- Practice address
- 250 SW Brookside Dr
Grimes, IA 50111-4900 - Phone
- (515) 300-3900
- Fax
- (515) 300-3901
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A117479 | IA | Primary |
Addresses
Primary practice location
250 SW Brookside Dr
Grimes, IA 50111-4900
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 300-3900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117479 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital | Nurse Practitioner | Current | Accepting new patients |
| Trillion Health and Hormone Clinic | Past | Accepting new patients |
Locations
610 10th St
Perry, IA 50220
Phone (515) 465-3547
Interoperability endpoints
- karareis@dcfm.allscriptsdirect.net
- https://fhir-usa.unify.chbase.com/org/dallas-858d3687
Organizations & group practices 2
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.
-
- General Practice Physician
- Omaha, NE
- NPI 1013576057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1205314440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-300-3900",
"fax_number": "515-300-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SW BROOKSIDE DR",
"city": "GRIMES",
"state": "IA",
"postal_code": "501114900",
"telephone_number": "515-300-3900",
"fax_number": "515-300-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "KARA",
"middle_name": "JAN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A117479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.