Organization Active NPI

Nova Aesthetics LLC

  • Dermatology Physician
  • Ankeny, IA
National Provider Identifier
1285465864
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NOVA AESTHETICS LLC
Practice address
320 SE Delaware Ave
Ankeny, IA 50021-9307
Phone
(563) 599-7422
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Elizabeth Preston, ARNP
Title
Provider
Phone
(563) 599-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

320 SE Delaware Ave
Ankeny, IA 50021-9307

Mailing address

320 SE Delaware Ave
Ankeny, IA 50021-9307
Phone (563) 599-7422

Other practice location 1

5025 Wolff Rd Ste 105
Dubuque, IA 52002-2117
Phone (563) 599-7422

Other names 1

  • Nova Medspa Doing business as

National Provider Directory

National Provider Directory

Locations

320 SE Delaware Ave
Ankeny, IA 50021
Phone (563) 599-7422

5025 Wolff Rd
Ste 105
Dubuque, IA 52002
Phone (563) 599-7422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1285465864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SE DELAWARE AVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219307",
            "telephone_number": "563-599-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SE DELAWARE AVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219307",
            "telephone_number": "563-599-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Wolff Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520022117",
            "country_code": "US",
            "telephone_number": "563-599-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "563-599-7422",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

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