Active NPI
Jacqueline Kay Greenfield, ARNP
- Women's Health Nurse Practitioner
- Ottumwa, IA
National Provider Identifier
1497914758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F-072256
- Practice address
- 603 Indian Hills Dr BLDG 15
Ottumwa, IA 52501-1468 - Phone
- (641) 683-5335
- Fax
- (641) 683-5742
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F-072256 | IA | Primary |
Addresses
Primary practice location
603 Indian Hills Dr BLDG 15
Ottumwa, IA 52501-1468
Mailing address
603 Indian Hills Dr BLDG 15
Student Health Services
Ottumwa, IA 52501-1468
Phone (641) 683-5335
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-072256 | IA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1497914758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 INDIAN HILLS DR BLDG 15",
"address_2": "STUDENT HEALTH SERVICES",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011468",
"telephone_number": "641-683-5335",
"fax_number": "641-683-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 INDIAN HILLS DR BLDG 15",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011468",
"telephone_number": "641-683-5335",
"fax_number": "641-683-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "JACQUELINE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IA",
"license": "F-072256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.