NPIMap

Organization Active NPI

Planned Parenthood of the Heartland

  • Women's Health Nurse Practitioner
  • Fort Madison, IA
National Provider Identifier
1225317183
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
33019 Issued in IA
Legal business name
PLANNED PARENTHOOD OF THE HEARTLAND
Practice address
2201 Ave H
Planned Parenthood of the Heartland Fort Madison Clinic
Fort Madison, IA 52627-4048
Phone
(319) 372-1130
Fax
(319) 372-6040
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Randy Drager
Title
Cfo
Phone
(651) 698-2406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 33019 IA Primary

Addresses

Primary practice location

2201 Ave H
Planned Parenthood of the Heartland Fort Madison Clinic
Fort Madison, IA 52627-4048

Mailing address

671 Vandalia St
Attn: PPH
St. Paul, MN 55114-1312
Phone (877) 811-7526

Other identifiers 1

IdentifierTypeStateIssuer
GROUP0057570MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of G24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1225317183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "address_2": "ATTN: PPH",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "877-811-7526",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 AVE H",
            "address_2": "PLANNED PARENTHOOD OF THE HEARTLAND FORT MADISON CLINIC",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274048",
            "telephone_number": "319-372-1130",
            "fax_number": "319-372-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE HEARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "DRAGER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-698-2406"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "33019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP0057570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.