Individual provider Active NPI

Nancy Marie Rahe, ARNP

  • Family Nurse Practitioner
  • North Liberty, IA
National Provider Identifier
1396824918
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A108489 Issued in IA
Practice address
3 Lions Dr
North Liberty, IA 52317-9575
Phone
(319) 467-5050
Fax
(319) 467-7130
NPI assigned
Nov 3, 2006
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A108489 IA Primary

Addresses

Primary practice location

3 Lions Dr
North Liberty, IA 52317-9575

Mailing address

2346 Mormon Trek Blvd
Ste 1500
Iowa City, IA 52246-4371
Phone (319) 337-7642

Other identifiers 3

IdentifierTypeStateIssuer
P00634369OtherIARR MEDICARE
0733535MedicaidIA
1396824918MedicaidIA

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1396824918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 MORMON TREK BLVD",
            "address_2": "STE 1500",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464371",
            "telephone_number": "319-337-7642",
            "fax_number": "319-339-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LIONS DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179575",
            "telephone_number": "319-467-5050",
            "fax_number": "319-467-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHE",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00634369",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0733535",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396824918",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.