Edgerton Womens Health Center

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

EDGERTON WOMENS HEALTH CENTER

Practice address

1510 E Rusholme St
Davenport, IA 52803-2463

Phone

(563) 359-6633

Fax

(563) 359-5261

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Annika O'Melia

Title

Ceo

Phone

(563) 823-9222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1407908924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-823-9222",
            "fax_number": "563-359-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-359-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON WOMENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "O'MELIA",
        "authorized_official_first_name": "ANNIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-823-9222"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPW",
            "identifier": "0096560",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Diane Echols
• Susan M. Eckert
• Pamela Eckman, BS, PHARMD
• Edgerton Women'S Health Center, Inc.
• Edgerton Womens Health Center
• Edgerton Womens Health Center
• Jenifer Edstrom, ARNP, FNP-C
• Alyssa Edwards, TLMHC, LPC
• Bailey Edwinson
• Amy Ehlers

• Women's Health Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Women's Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.