Clint P Royston, M.S., M.S.N.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G-116306 Issued in IA

Practice address

6200 Aurora Ave
Ste 401E
Urbandale, IA 50322-2800

Phone

(515) 331-0303

Fax

(515) 331-9086

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Nursing

State licenses

Practice roles

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.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• Vermeer Quist Consulting, LLC

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1538606975
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1245319250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE",
            "address_2": "STE 401E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222800",
            "telephone_number": "515-331-0303",
            "fax_number": "515-331-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE",
            "address_2": "STE 401E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222800",
            "telephone_number": "515-331-0303",
            "fax_number": "515-331-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTON",
        "first_name": "CLINT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.S., M.S.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G-116306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10658701",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven J Rosenberg, M.D.
• Kyle Rotert
• Angela Marie Rouse, MASTER OF ARTS
• Sarah Rowat
• Royal Oaks Nursing and Rehabilitation Center LLC
• Anne E Rozeboom, ARNP
• Kyle Ruehle, D.C.
• Tracy Nicole Rulli, PHARMD
• Brian Rundle
• Erin Elizabeth Ryan, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.