Active NPI
Nancy Jean Carlisle, MS, RD, LD, CDE
- Registered Dietitian
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00262
- Practice address
- 500 E Market St
Iowa City, IA 52245-2689 - Phone
- (319) 339-2678
- Fax
- (319) 688-7189
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00262 | IA | Primary |
Addresses
Primary practice location
500 E Market St
Iowa City, IA 52245-2689
Mailing address
500 E Market St
Iowa City, IA 52245-2689
Phone (319) 339-2678
Other names 1
- Nancy Jean Schnack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1518 Mulberry Ave
Muscatine, IA 52761-3433
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00262 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Mercy Hospital, Iowa City, Iowa | Dietitian, Registered | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Emergency Medicine Physician
- Iowa City, IA
- NPI 1124089347
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467413807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E MARKET ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452689",
"telephone_number": "319-339-2678",
"fax_number": "319-688-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MARKET ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452689",
"telephone_number": "319-339-2678",
"fax_number": "319-688-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "NANCY",
"middle_name": "JEAN",
"credential": "MS, RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "00262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "SCHNACK",
"middle_name": "JEAN",
"credential": "MS, RD, LD, CDE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.