Individual provider Active NPI

Joyce Portz Ann Portz, RN

  • Ambulatory Care Registered Nurse
  • Shenandoah, IA
National Provider Identifier
1437997392
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
110636 Issued in IA
Practice address
2043 A Ave
Shenandoah, IA 51601-4505
Phone
(712) 246-0092
Fax
(612) 725-1254
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 110636 IA Primary

Addresses

Primary practice location

2043 A Ave
Shenandoah, IA 51601-4505

Mailing address

2043 A Ave
Shenandoah, IA 51601-4505
Phone (712) 246-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
110636IAMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1437997392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 A AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516014505",
            "telephone_number": "712-246-0092",
            "fax_number": "612-725-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 A AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516014505",
            "telephone_number": "712-246-0092",
            "fax_number": "612-725-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTZ",
        "first_name": "JOYCE PORTZ",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IA",
            "license": "110636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.