NPIMap

Organization Active NPI

Calamity Rose Ranch LLC

  • Clinic/Center
  • Muscatine, IA
National Provider Identifier
1215788500
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CALAMITY ROSE RANCH LLC
Practice address
701 Orange St
Muscatine, IA 52761-4358
Phone
(563) 261-4434
NPI assigned
Mar 27, 2024
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Kayla Lea Carlsten, PMHNPNPI 1770169104
Title
Owner of Calamity Rose Ranch LLC
Phone
(563) 261-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

701 Orange St
Muscatine, IA 52761-4358

Mailing address

1612 Taylor Ave
Muscatine, IA 52761-9789
Phone (563) 261-4434

Other identifiers 1

IdentifierTypeStateIssuer
P10007816021MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Calamity Rose Ranch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1215788500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 TAYLOR AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527619789",
            "telephone_number": "563-261-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ORANGE ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527614358",
            "telephone_number": "563-261-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAMITY ROSE RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "CARLSTEN",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER OF CALAMITY ROSE RANCH LLC",
        "authorized_official_telephone_number": "563-261-4434",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P10007816021",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.