Organization Active NPI

Business Revenue Corporation

Doing business as Spectrum Health Care

  • Family Nurse Practitioner
  • Newton, IA
National Provider Identifier
1346661659
Registry record updated Jan 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BUSINESS REVENUE CORPORATION
Doing business as
Spectrum Health Care
Practice address
615 N 2ND Ave W
Newton, IA 50208-3015
Phone
(515) 243-2057
Fax
(515) 244-5570
NPI assigned
Jan 4, 2014
Last updated
Jan 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2014

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

Authorized official

Name
Clover Loynachan
Title
Billing/Credentialing
Phone
(515) 243-5027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

615 N 2ND Ave W
Newton, IA 50208-3015

Mailing address

PO Box 71602
Clive, IA 50325-0602
Phone (515) 243-2057

Other names 1

  • Spectrum Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1346661659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71602",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503250602",
            "telephone_number": "515-243-2057",
            "fax_number": "515-244-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 2ND AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083015",
            "telephone_number": "515-243-2057",
            "fax_number": "515-244-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSINESS REVENUE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "LOYNACHAN",
        "authorized_official_first_name": "CLOVER",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "515-243-5027"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.