Active NPI
Megan Elizabeth Vance
- Addiction (Substance Use Disorder) Counselor
- Maquoketa, IA
National Provider Identifier
1396222709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18050
- Practice address
- 119 S Main St Ste 2
Maquoketa, IA 52060 - Phone
- (563) 652-2215
- Fax
- (563) 652-4939
- NPI assigned
- Jul 27, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18050 | IA | Primary |
Addresses
Primary practice location
119 S Main St Ste 2
Maquoketa, IA 52060
Mailing address
119 S Main St Ste 2
Maquoketa, IA 52060-3000
Phone (563) 652-2215
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 |
|---|---|---|---|
| 18050 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1396222709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S MAIN ST STE 2",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520603000",
"telephone_number": "563-652-2215",
"fax_number": "563-652-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S MAIN ST STE 2",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "52060",
"telephone_number": "563-652-2215",
"fax_number": "563-652-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "18050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maquoketa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.