Individual provider Active NPI

Kathy L. Marlow, ARNP

  • Gerontology Nurse Practitioner
  • Knoxville, IA
National Provider Identifier
1396766275
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
J058643 Issued in IA
Practice address
1515 W Pleasant St
Knoxville, IA 50138-3399
Phone
(641) 842-3101
Fax
(641) 828-5384
NPI assigned
Jul 23, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X H058643 IA
Gerontology Nurse Practitioner 363LG0600X J058643 IA Primary

Addresses

Primary practice location

1515 W Pleasant St
Knoxville, IA 50138-3399

Mailing address

900 67TH St
Unit 404
West Des Moines, IA 50266-2433
Phone (515) 221-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
H058643IAMDAdult Health Nurse Practitioner
J058643IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Health Care Past Accepting new patients
Jaybird Holdings Indianola LLC PastSince Feb 2, 2025 Accepting new patients
Teammd Physicians PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396766275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 67TH ST",
            "address_2": "UNIT 404",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662433",
            "telephone_number": "515-221-0911",
            "fax_number": "515-221-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W PLEASANT ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383399",
            "telephone_number": "641-842-3101",
            "fax_number": "641-828-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "KATHY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H058643",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J058643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

Verify at the official NPI Registry.