Active NPI
Breakthrough Wellness
- Nurse Practitioner
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nathan Douglas McCarty, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Maquoketa, IA
- NPI 1528587375
-
- Nurse Practitioner
- Muscatine, IA
- NPI 1962831511
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.