Active NPI
Iowa Donor Network
- Organ Procurement Organization
- North Liberty, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Organ Procurement Organization
- Legal business name
- IOWA DONOR NETWORK
- Practice address
- 550 Madison Ave N
North Liberty, IA 52317-8401 - Phone
- (319) 665-3787
- Fax
- (319) 665-3788
- NPI assigned
- Jul 14, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suzanne Lane Conrad
- Title
- Ceo
- Phone
- (319) 665-3787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Organ Procurement Organization | 335U00000X | IA | Primary |
Addresses
Primary practice location
550 Madison Ave N
North Liberty, IA 52317-8401
Mailing address
550 Madison Ave N
North Liberty, IA 52317-8401
Phone (319) 665-3787
Other practice location 1
320 Adventureland Dr NW
Altoona, IA 50009-4234
Phone (515) 727-7897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000581 | IA | Part A Provider - Organ Procurement Organization (Opo) | 2860389897 | Practice locations: Altoona, IA; North Liberty, IA |
National Provider Directory
National Provider DirectoryLocations
320 Adventureland Dr NW
Altoona, IA 50009
Phone (515) 727-7897
2732 Northgate Dr
Iowa City, IA 52245
Phone (319) 337-7515
8191 Birchwood Ct
Johnston, IA 50131
Phone (515) 727-7897
550 N Madison Ave
North Liberty, IA 52317
Phone (319) 665-3787
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.
-
- Acute Care Nurse Practitioner
- Altoona, IA
- NPI 1619578432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1437671054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 MADISON AVE N",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523178401",
"telephone_number": "319-665-3787",
"fax_number": "319-665-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 MADISON AVE N",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523178401",
"telephone_number": "319-665-3787",
"fax_number": "319-665-3788"
}
],
"practiceLocations": [
{
"address_1": "320 Adventureland Dr NW",
"address_purpose": "LOCATION",
"city": "Altoona",
"state": "IA",
"postal_code": "500094234",
"country_code": "US",
"telephone_number": "515-727-7897",
"fax_number": "515-727-7911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IOWA DONOR NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CONRAD",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "LANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "319-665-3787",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335U00000X",
"taxonomy_group": "",
"desc": "Organ Procurement Organization",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; 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.