Doreen A Pedersen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

087128 Issued in IA

Practice address

824 Flindt Dr
Suite 103
Storm Lake, IA 50588-3208

Phone

(712) 732-3736

Fax

(712) 732-3275

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326166380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014436",
            "telephone_number": "712-262-2922",
            "fax_number": "712-262-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 FLINDT DR",
            "address_2": "SUITE 103",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883208",
            "telephone_number": "712-732-3736",
            "fax_number": "712-732-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "DOREEN",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "087128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Nicholson, PT
• Joan M Nilles, MD
• Lauren Nixon
• North Central Iowa Mental Health Center Inc
• Casey Orton, PHARMD
• Heidi Kay Pedersen, ARNP
• Hayley Noel Perrin
• Mina Peterson
• Physiotherapy Associates, Inc.
• Planned Parenthood of the Heartland

• Registered Nurse in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.