Sequoia Medical Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SEQUOIA MEDICAL SERVICES PLLC

Practice address

770 Tanglefoot LN # 3256
Bettendorf, IA 52722-1608

Phone

(920) 579-1027

NPI assigned

Jan 4, 2023

Last updated

Jul 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly NephewNPI 1902554306

Title

Owner

Phone

(920) 579-1027

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 4

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.

• Amanda Marie Muhs, ARNP

  • Family Nurse Practitioner
  • Bettendorf, IA
  • NPI 1235723297
  Medicare reassignment Care Compare group NPD
• Kelly L Nephew, DNP, FNP-BC, CME

  • Nurse Practitioner
  • Osceola, IA
  • NPI 1902554306
  Medicare reassignment NPD Authorized official
• Taylor Thacker, FNP-C

  • Family Nurse Practitioner
  • Clinton, IA
  • NPI 1114784865
  Medicare reassignment Care Compare group NPD
• Morgan Whitney Deggendorf, ARNP

  • Family Nurse Practitioner
  • Bettendorf, IA
  • NPI 1609614114
  Medicare reassignment NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1386357432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 8TH AVE",
            "city": "CLARENCE",
            "state": "IA",
            "postal_code": "522169419",
            "telephone_number": "814-243-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TANGLEFOOT LN # 3256",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221608",
            "telephone_number": "920-579-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "NEPHEW",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-579-1027"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sequoaiamedicalservices.com",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "770 Tanglefoot Ln",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527221608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raymond Scott Schroeder, RPH
• Aaron T Schulze, PA-C
• Aracely Schutters, L.I.S.W
• Benjamin Ross Selden, D.D.S.
• Sequoia Health Services Bettendorf, LLC
• Caroline Setzer
• SGNS Healthcare Solutions LLC
• Michael Shaw, PT
• Beau Shay, DPM
• Sheila Funk-Jansen

• Family Medicine Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.