NPIMap

Organization Active NPI

Greenwood Medical Services LLC

  • Clinic/Center
  • Des Moines, IA
National Provider Identifier
1437751567
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENWOOD MEDICAL SERVICES LLC
Doing business as
Greenwood Medical Services LLC
Practice address
500 N Valley Dr Unit 804
Des Moines, IA 50312-1625
Phone
(515) 480-7987
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Fred James Nesbit III, ARNP
Title
Nurse Practitioner
Phone
(515) 480-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

500 N Valley Dr Unit 804
Des Moines, IA 50312-1625

Mailing address

500 N Valley Dr Unit 804
Des Moines, IA 50312-1625
Phone (515) 480-7987

Other identifiers 1

IdentifierTypeStateIssuer
1508477316MedicaidIA

Other names 1

  • Greenwood Medical Services LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greenwoodmedicalservices@direct.practicefusion.com Direct

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1437751567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N VALLEY DR UNIT 804",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503121625",
            "telephone_number": "515-480-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N VALLEY DR UNIT 804",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503121625",
            "telephone_number": "515-480-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "NESBIT",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "515-480-7987",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508477316",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greenwoodmedicalservices@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 N Valley Dr Unit 804",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503121625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greenwood Medical Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.