Ultimate Care Medical Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ULTIMATE CARE MEDICAL CLINIC, INC

Practice address

127 W Washington St
Osceola, IA 50213-1248

Phone

(641) 223-8365

Fax

(641) 223-8364

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Jannice Marie Taylor, ARNP, FNP- CNPI 1841835030

Title

Provider

Phone

(641) 223-8365

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jannice Marie Taylor, ARNP, FNP-C

  • Family Nurse Practitioner
  • Osceola, IA
  • NPI 1841835030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1316600737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W WASHINGTON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131248",
            "telephone_number": "641-223-8365",
            "fax_number": "641-223-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W WASHINGTON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131248",
            "telephone_number": "641-223-8365",
            "fax_number": "641-223-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JANNICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "641-223-8365",
        "authorized_official_credential": "ARNP, FNP- C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Teno, DPT
• Thomas J Lower DO PC
• Kara Lee A. Thompson, D.O.
• Thao Tran
• Mila Trombino, LMSW
• Micheal Joe Vanmeel
• Bradley James Virkler
• Walmart Inc. (Walmart Pharmacy 10-4606)
• Roger John West, DDS
• William L Wharff, CRNA

• Primary Care Clinic/Center in Osceola, IA
• Providers in Osceola, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.