Individual provider Active NPI

Mindy Stichka, MS ED

  • Case Manager/Care Coordinator
  • Des Moines, IA
National Provider Identifier
1306267489
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1409 Clark St
Des Moines, IA 50314-1964
Phone
(515) 643-6584
Fax
(515) 643-6598
NPI assigned
Dec 17, 2013
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1409 Clark St
Des Moines, IA 50314-1964

Mailing address

1409 Clark St
Des Moines, IA 50314-1964
Phone (515) 643-6584

Other names 1

  • Ms. Mindy Roemeling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1306267489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CLARK ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141964",
            "telephone_number": "515-643-6584",
            "fax_number": "515-643-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CLARK ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141964",
            "telephone_number": "515-643-6584",
            "fax_number": "515-643-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICHKA",
        "first_name": "MINDY",
        "name_prefix": "Mrs.",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "ROEMELING",
            "prefix": "MS.",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.