NPIMap

Individual provider Active NPI

Johannah Lindsey Dickens Hay, M.D.

  • Family Medicine Physician
  • Boone, IA
National Provider Identifier
1508157033
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60396539 Issued in WA
Practice address
120 South Story Street
Boone, IA 50036-4739
Phone
(515) 432-4444
Fax
(515) 432-1331
NPI assigned
May 2, 2011
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60396539 WA Primary

Addresses

Primary practice location

120 South Story Street
Boone, IA 50036-4739

Mailing address

120 South Story Street
Boone, IA 50036-4739
Phone (515) 432-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002537 IA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2163640798 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Washington School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone County Family Medicine TRGroup PAC ID 0941192751, 8 clinicians

Practice addresses (Care Compare)

120 S Story St
Boone, IA 50036-4739
Phone (515) 432-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Family Medicine TR Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Jan 3, 2021 Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Jan 3, 2021 Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1115 S Marshall St
Boone, IA 50036
Phone (515) 432-2335

120 S Story St
Boone, IA 50036
Phone (515) 432-3460

Interoperability endpoints

  • Direct secure messaging: jhay545874@wm.providencedirect.org
  • Direct secure messaging: lhay134874@direct.multicare.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1508157033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH STORY STREET",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-4444",
            "fax_number": "515-432-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH STORY STREET",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-4444",
            "fax_number": "515-432-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAY",
        "first_name": "JOHANNAH",
        "middle_name": "LINDSEY DICKENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60396539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.