Individual provider Active NPI

Kara Jan Reis, ARNP

  • Nurse Practitioner
  • Grimes, IA
National Provider Identifier
1205314440
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A117479 Issued in IA
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

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A117479IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: karareis@dcfm.allscriptsdirect.net
  • FHIR API: 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.

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.

Verify at the official NPI Registry.