Active NPI
Anthony Rothmeyer
- Community Health Worker
- Creston, IA
National Provider Identifier
1376156091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- PR-19003
- Practice address
- 1003 Cottonwood Rd
Creston, IA 50801-1012 - Phone
- (641) 782-8457
- Fax
- (641) 782-7048
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PR-19003 | IA | Primary |
Addresses
Primary practice location
1003 Cottonwood Rd
Creston, IA 50801-1012
Mailing address
1003 Cottonwood Rd
Creston, IA 50801-1012
Phone (641) 782-8457
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR-19003 | IA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inside Out Wellness and Advocacy | Past | Accepting new patients | |
| Crossroads Behavioral Health Center | Past | Accepting new patients | |
| Crossroads Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Creston, IA
- NPI 1053694802
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Creston, IA
- NPI 1578531877
-
- Mental Illness Community Based Residential Treatment Facility
- Woodward, IA
- NPI 1003599028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1376156091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 COTTONWOOD RD",
"city": "CRESTON",
"state": "IA",
"postal_code": "508011012",
"telephone_number": "641-782-8457",
"fax_number": "641-782-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 COTTONWOOD RD",
"city": "CRESTON",
"state": "IA",
"postal_code": "508011012",
"telephone_number": "641-782-8457",
"fax_number": "641-782-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMEYER",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IA",
"license": "PR-19003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creston, IA
- Steven Dale Reeves, MD
- Renal Treatment Centers-Illinois Inc (Creston Dialysis)
- Larry Lee Richardson, RPH
- Robert H. Sharp, O.D., PC (Family Vision Center)
- Everett Henri Roberts, ARNP
- Danilo Ruiz, MD
- Rural Family Therapy Services L.L.C.
- Rural Family Therapy Services, LLC
- Leslie Linnea Russell, CADC
- Joyce Schildberg, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.