2ND Street Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

2ND STREET CLINIC

Practice address

101 E Marion St
Sigourney, IA 52591-1443

Phone

(641) 622-9133

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol Marie Schmidt, ARNPNPI 1366573503

Title

Owner

Phone

(641) 622-9133

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Carol Marie Schmidt, ARNP

  • Critical Care Medicine Nurse Practitioner
  • Sigourney, IA
  • NPI 1366573503

  Family

  NPD (past) Authorized official
• Debra Dee Fritz, PT

  • Physical Therapist
  • Sigourney, IA
  • NPI 1477053619
  NPD (past)
• Nathan Michael Fritz

  • Physical Therapist
  • Langley AFB, VA
  • NPI 1952011280
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1326215666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MARION ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911443",
            "telephone_number": "641-622-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MARION ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911443",
            "telephone_number": "641-622-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND STREET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-622-9133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abcm Corporation (Manor House Care Center)
• Abcm Corporation (Deer View Manor Independent & Assisted Living)
• Mary Beth Adam, RPH
• John A Buckingham, DO
• Roberto Pepe Castro, MD.

• Family Nurse Practitioner in Sigourney, IA
• Providers in Sigourney, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.