Nourish Pediatrics PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

NOURISH PEDIATRICS PLLC

Practice address

1612 Prairie Rose Dr SW
Cedar Rapids, IA 52404-8721

Phone

(319) 389-1954

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Kelsey NorrisNPI 1588013874

Title

Owner

Phone

(319) 389-1954

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelsey Norris, M.A., CCC-SLP, CLC

  • Speech-Language Pathologist
  • Coralville, IA
  • NPI 1588013874
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1407687171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 PRAIRIE ROSE DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048721",
            "telephone_number": "319-389-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 PRAIRIE ROSE DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048721",
            "telephone_number": "319-389-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-389-1954"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeniece Nott, M.D.
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• Allan J Novak Jr., D.C.
• Brady A Novak, DDS. MS.
• Clifford Christopher Novak, M.D.
• Shanda Lynn Novak, D.C.

• Hearing and Speech Clinic/Center in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Hearing and Speech Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.