NPIMap

Organization Active NPI

Planned Parenthood of the Heartland

  • Women's Health Nurse Practitioner
  • Burlington, IA
National Provider Identifier
1295715001
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
620 N 8TH St
Planned Parenthood of the Heartland Burlington Clinic
Burlington, IA 52601-5037
Phone
(319) 753-2281
Fax
(319) 753-0181
NPI assigned
Jan 18, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X
Women's Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LW0102X 33019 IA Primary

Addresses

Primary practice location

620 N 8TH St
Planned Parenthood of the Heartland Burlington Clinic
Burlington, IA 52601-5037

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
0128652MedicaidIA
07788OtherIAWELLMARK
C37752OtherIAEBS
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

Locations

305 N 3rd St
Ste 403
Burlington, IA 52601
Phone (319) 753-6209

620 N 8th St
Burlington, IA 52601
Phone (319) 753-2281

4821 Avenue O
Ste 2
Fort Madison, IA 52627
Phone (319) 372-1130

2201 Avenue H
Fort Madison, IA 52627
Phone (319) 372-1130

114 E Monroe St
Mount Pleasant, IA 52641

225 W Main St
Washington, IA 52353
Phone (319) 653-3525

Practitioners & affiliated clinicians

Practitioners 10

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1295715001",
    "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": "620 N 8TH ST",
            "address_2": "PLANNED PARENTHOOD OF THE HEARTLAND BURLINGTON CLINIC",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015037",
            "telephone_number": "319-753-2281",
            "fax_number": "319-753-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE HEARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "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": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "33019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128652",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "07788",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBS",
            "identifier": "C37752",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP0057570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, 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.