Post Acute Care Leaders- Iowa, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

POST ACUTE CARE LEADERS- IOWA, LLC

Practice address

2121 W 19TH St
Sioux City, IA 51103-2333

Phone

(678) 593-3332

Fax

(678) 868-1584

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Tyler Justiss

Title

Controller

Phone

(678) 593-3332

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1447979901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY STE 425",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055200",
            "telephone_number": "678-593-3332",
            "fax_number": "678-868-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 19TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511032333",
            "telephone_number": "678-593-3332",
            "fax_number": "678-868-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE CARE LEADERS- IOWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "JUSTISS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "678-593-3332"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley J Polk, LIMHP,LADC
• Adam Jameson Poole, DO
• Matthew Delane Poppe, CRNA
• Dean Poss
• Kevin G Poss, DPT
• Jaicee Post, DDS
• Robert E Powers, MD
• Jerry Curtis Prahl, DDS
• Prairie Pediatrics & Adolescent Clinic, P.C.
• Prairie Pediatrics, PC (Prairie Pediatrics & Adolescent Clinic, PC)

• Nurse Practitioner in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.