Active NPI
Harriet J Echternacht, MD
- Family Medicine Physician
- Iowa City, IA
National Provider Identifier
1497743298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29493
- Practice address
- 1130 Scott Blvd
Iowa City, IA 52240-2907 - Phone
- (319) 339-7472
- Fax
- (319) 688-2503
- NPI assigned
- Oct 6, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29493 | IA | Primary |
Addresses
Primary practice location
1130 Scott Blvd
Iowa City, IA 52240-2907
Mailing address
2941 Sierra CT SW
Iowa City, IA 52240-8503
Phone (319) 337-7642
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00028024 | Other | IA | RR MEDICARE |
| 1497743298 | Medicaid | IA | |
| 2092940 | Medicaid | IA | |
| 34581 | Other | IA | WELLMARK BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29493 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Services Iowa City, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- West Liberty, IA
- NPI 1477065332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1497743298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2941 SIERRA CT SW",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522408503",
"telephone_number": "319-337-7642",
"fax_number": "319-339-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 SCOTT BLVD",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522402907",
"telephone_number": "319-339-7472",
"fax_number": "319-688-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHTERNACHT",
"first_name": "HARRIET",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "29493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00028024",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497743298",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2092940",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "34581",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}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 Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.