Nudak Ventures, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NUDAK VENTURES, LLC

Doing business as

NuCara Home Medical #2

Practice address

1113 Ansborough Ave
Waterloo, IA 50701-2248

Phone

(319) 287-8087

Fax

(319) 232-1028

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Lori Willis

Title

Acquisitions Manager

Phone

(641) 366-3440

Specialties & licenses 4

Addresses

Other names 1

• NuCara Home Medical #2 Doing business as

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1265863294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CONRAD",
            "state": "IA",
            "postal_code": "506210640",
            "telephone_number": "641-366-3440",
            "fax_number": "641-366-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ANSBOROUGH AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012248",
            "telephone_number": "319-287-8087",
            "fax_number": "319-232-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUDAK VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACQUISITIONS MANAGER",
        "authorized_official_telephone_number": "641-366-3440"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuCara Home Medical #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Northness, WHNP
• James Novak, PHARMD
• Nucara Infusion Centers LLC
• Nudak Ventures LLC
• Nudak Ventures LLC
• Nudak Ventures, LLC
• Amel Nuhanovic, DC
• Steven Edward Nus, D.P.T.
• Emily O'Brien, PHARMD
• Sara Nicole O'Brien, M.A.

• Customized Equipment (DME) in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Customized Equipment (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.