Organization Active NPI

Praxis Girl, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, IA
National Provider Identifier
1407454887
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRAXIS GIRL, PC
Practice address
808 6TH St Ste 1
Marion, IA 52302-5765
Phone
(319) 440-7071
Fax
(319) 671-6628
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Bonnie Elizabeth Seely, ARNPNPI 1871899013
Title
Authorized Official
Phone
(319) 440-7923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

808 6TH St Ste 1
Marion, IA 52302-5765

Mailing address

808 6TH St Ste 1
Marion, IA 52302-5765
Phone (319) 440-7071

Other practice location 1

43 Rainbow Ct SE
Cedar Rapids, IA 52403-1549
Phone (319) 440-7923

Other identifiers 1

IdentifierTypeStateIssuer
1871899013MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221129000181 IA Part B Supplier - Clinic/Group Practice 3779951512 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IA

National Provider Directory

National Provider Directory

Locations

642 10th St
Ste 101
Marion, IA 52302
Phone (319) 440-7923

808 6th St
Ste 1
Marion, IA 52302
Phone (319) 440-7071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1407454887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 6TH ST STE 1",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025765",
            "telephone_number": "319-440-7071",
            "fax_number": "319-671-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 6TH ST STE 1",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025765",
            "telephone_number": "319-440-7071",
            "fax_number": "319-671-6628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Rainbow Ct SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524031549",
            "country_code": "US",
            "telephone_number": "319-440-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAXIS GIRL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "SEELY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "319-440-7923",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871899013",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.