Active NPI
Kimberly Neumann, MD
- Pediatrics Physician
- Waterloo, IA
National Provider Identifier
1326023656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 28834
- Practice address
- 905 Franklin St
Waterloo, IA 50703-4407 - Phone
- (319) 272-4300
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28834 | IA | Primary |
Addresses
Primary practice location
905 Franklin St
Waterloo, IA 50703-4407
Mailing address
905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08740 | Other | IA | WELLMARK |
| 0076372 | Medicaid | IA |
Other names 1
- Kimberly Hansen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@peoples-clinic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28834 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoples Community Health Clinic, Inc | Current | Accepting new patients | |
| Peoples Community Health Clinic, Inc. | Current | Accepting new patients | |
| Peoples Community Health Clinic, Inc | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300
Interoperability endpoints
- kneumann635106@direct.ochin.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Waterloo, IA
- NPI 1629684709
-
- Federally Qualified Health Center (FQHC)
- Clarksville, IA
- NPI 1336850734
-
- Federally Qualified Health Center (FQHC)
- Waterloo, IA
- NPI 1093703639
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1326023656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 FRANKLIN ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034407",
"telephone_number": "319-874-3000",
"fax_number": "319-874-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 FRANKLIN ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034407",
"telephone_number": "319-272-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "KIMBERLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "28834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "08740",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076372",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@peoples-clinic.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "905 Franklin St",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507034407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "HANSEN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.