Individual provider Active NPI

Mary-Elizabeth Louise Satterfield, EDD.,R.N.L

  • Psychologist
  • Sioux City, IA
National Provider Identifier
1215901939
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
570 Issued in IA
Practice address
3920 Old Lakeport Rd
Sioux City, IA 51106-9508
Phone
(712) 276-5419
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 570 IA Primary
Psychologist 103T00000X 288 IA
Registered Nurse 163W00000X 048039 IA

Addresses

Primary practice location

3920 Old Lakeport Rd
Sioux City, IA 51106-9508

Mailing address

3920 Old Lakeport Rd
Sioux City, IA 51106-9508
Phone (712) 276-5419

Other identifiers 3

IdentifierTypeStateIssuer
42145965326MedicaidNE
0138667MedicaidIA
54117OtherIAWELLMARK BCBS

Other names 1

  • Dr. Mary Beth Satterfield Professional name

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
570IAMDPsychologist
048039IAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1215901939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 OLD LAKEPORT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511069508",
            "telephone_number": "712-276-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 OLD LAKEPORT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511069508",
            "telephone_number": "712-276-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "MARY-ELIZABETH",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "EDD.,R.N.L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "570",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "288",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "048039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42145965326",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138667",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "54117",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "SATTERFIELD",
            "prefix": "DR.",
            "credential": "EDD.,R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.