Kindred

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

002138 Issued in IA

Legal business name

KINDRED

Practice address

3000 Risen Son Blvd
Council Bluffs, IA 51503-1911

Phone

(712) 366-0286

NPI assigned

Sep 24, 2012

Organization subpart

No

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

Authorized official

Name

Ann Wetz

Title

Speech Language Pathologist

Phone

(712) 366-0286

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1467703041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 RISEN SON BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RISEN SON BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031911",
            "telephone_number": "712-366-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "WETZ",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "712-366-0286"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "002138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britley Kierscht
• Jeffrey Phillip Kiley, D.P.M.
• Erica A. Kilnoski, P.A.
• Jonathan L. Kilstrom, PA-C
• Thomas Kimberly, DDS
• Demianna King, H.I.S.
• Jonathan Kingsley, OD
• Mark Gregory Kinnaman, CADC
• Margaret E Kinney, APRN
• Tiffany Rae Kinsley

• Skilled Nursing Facility in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.