Organization Active NPI

Innovate My Weight

  • Health Service Clinic/Center
  • Altoona, IA
National Provider Identifier
1346075819
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
INNOVATE MY WEIGHT
Doing business as
Innovative Wellness
Practice address
3160 8TH St SW Ste G-106
Altoona, IA 50009-1023
Phone
(515) 443-0203
Fax
(515) 478-7253
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Christine O'Hern, ARNPNPI 1649653783
Title
Medical Director
Phone
(515) 443-0203

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3160 8TH St SW Ste G-106
Altoona, IA 50009-1023

Mailing address

3160 8TH St SW # G-106
Altoona, IA 50009-1023
Phone (515) 443-0203

Other names 1

  • Innovative Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3160 8th St SW
Ste G106
Altoona, IA 50009
Phone (515) 443-0203

3160 8th St SW
#G106
Altoona, IA 50009
Phone (515) 573-2235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1346075819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 8TH ST SW # G-106",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091023",
            "telephone_number": "515-443-0203",
            "fax_number": "515-478-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 8TH ST SW STE G-106",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091023",
            "telephone_number": "515-443-0203",
            "fax_number": "515-478-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATE MY WEIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "O'HERN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "515-443-0203",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.