NPIMap

Organization Active NPI

Underwood Family Practice

  • Family Nurse Practitioner
  • Underwood, IA
National Provider Identifier
1396768503
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-082459 Issued in IA
Legal business name
UNDERWOOD FAMILY PRACTICE
Practice address
401 Highway St
Underwood, IA 51576-5030
Phone
(712) 566-9148
Fax
(712) 566-9408
NPI assigned
Jul 26, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Rick Ogg
Title
Administrator
Phone
(712) 566-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-082459 IA Primary

Addresses

Primary practice location

401 Highway St
Underwood, IA 51576-5030

Mailing address

PO Box 218
Underwood, IA 51576-0218
Phone (712) 566-9148

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1396768503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "UNDERWOOD",
            "state": "IA",
            "postal_code": "515760218",
            "telephone_number": "712-566-9148",
            "fax_number": "712-566-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHWAY ST",
            "city": "UNDERWOOD",
            "state": "IA",
            "postal_code": "515765030",
            "telephone_number": "712-566-9148",
            "fax_number": "712-566-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "OGG",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-566-9148"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-082459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Underwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.