Organization Active NPI

Breakthrough Wellness

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1336957778
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BREAKTHROUGH WELLNESS
Practice address
1225 E River Dr Ste 340
Davenport, IA 52803-5761
Phone
(563) 424-0136
Fax
(563) 526-4116
NPI assigned
Dec 18, 2024
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Mr. Nathan Douglas McCarty, LMFTNPI 1528587375
Title
Owner
Phone
(563) 320-6915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

1225 E River Dr Ste 340
Davenport, IA 52803-5761

Mailing address

1225 E River Dr Ste 330
Davenport, IA 52803-5761
Phone (563) 424-0136

Other practice location 1

5030 38th Ave
Moline, IL 61265-6717
Phone (563) 424-0136

National Provider Directory

National Provider Directory

Locations

1225 E River Dr
Ste 340
Davenport, IA 52803
Phone (563) 214-0369

5030 38th Ave
Moline, IL 61265
Phone (563) 424-0136

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1336957778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E RIVER DR STE 330",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035761",
            "telephone_number": "563-424-0136",
            "fax_number": "563-526-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E RIVER DR STE 340",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035761",
            "telephone_number": "563-424-0136",
            "fax_number": "563-526-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656717",
            "country_code": "US",
            "telephone_number": "563-424-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKTHROUGH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-320-6915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.