Individual provider Active NPI

Jamie Lee Poulsen Schoenherr

  • Midwife
  • Spencer, IA
National Provider Identifier
1336808062
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
B166206 Issued in IA
Practice address
1200 1St Ave E Ste 1
Spencer, IA 51301-4330
Phone
(712) 264-6198
NPI assigned
Dec 9, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X B166206 IA Primary

Addresses

Primary practice location

1200 1St Ave E Ste 1
Spencer, IA 51301-4330

Mailing address

1200 1St Ave E Ste 1
Spencer, IA 51301-4330

Other practice location 1

33 4th St NW
Sioux Center, IA 51250-1870
Phone (712) 722-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jschoenherr@spencerhospital.org

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

State licenses

LicenseStateTypeSpecialty
B166206IAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Dermatology LLC PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1336808062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E STE 1",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E STE 1",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014330",
            "telephone_number": "712-264-6198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Sioux Center",
            "state": "IA",
            "postal_code": "512501870",
            "country_code": "US",
            "telephone_number": "712-722-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULSEN SCHOENHERR",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IA",
            "license": "B166206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschoenherr@spencerhospital.org",
            "affiliation": "N",
            "address_1": "1200 1st Ave E Ste 1",
            "city": "Spencer",
            "state": "IA",
            "country_code": "US",
            "postal_code": "513014330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.