Diana Elizabeth Hoogestraat, MSW/LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01345 Issued in IA

Practice address

300 W Broadway
Council Bluffs, IA 51503-9078

Phone

(712) 256-7511

Fax

(712) 256-9766

NPI assigned

May 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• On With Life Extended Services, LTD.

  • Pediatric Skilled Nursing Facility
  • Polk City, IA
  • NPI 1841355575

  Indirect Ownership Interest, Managing Control - Governing Body

  CMS ownership

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.

• Horizon Therapy Group, LLC

  • Counselor
  • Council Bluffs, IA
  • NPI 1457305518
  Medicare reassignment NPD

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1508184581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SHARP ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341650",
            "telephone_number": "712-527-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039078",
            "telephone_number": "712-256-7511",
            "fax_number": "712-256-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGESTRAAT",
        "first_name": "DIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW/LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Burke Holland
• Katelyn C Holloway, PA-C
• Alexis Rose Holmes
• Thomas William Homan, PA-C
• Hometown Inclusive Living LLC
• Lauren Elizabeth Hoover, TLMHC
• Hope Heals LLC
• Marcia L. Hopkins, ARNP
• Hopp Physical Therapy, Inc.
• Dennis William Hopp

• Clinical Social Worker in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.