Individual provider Active NPI

Emily Clinton, ARNP

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1508562489
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A172993 Issued in IA
Practice address
2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715
Phone
(319) 888-8044
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A172993 IA Primary

Addresses

Primary practice location

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302000195 IA Practitioner - Nurse Practitioner 0143693754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Valley Medical Specialists PC 61 clinicians

Practice addresses (Care Compare)

1560 Boyson Rd
Suite D
Hiawatha, IA 52233-2385
Phone (319) 888-8044

1600 1St St E
Independence, IA 50644-3155
Phone (319) 334-6071

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

3315 John F Kennedy Rd
Suite E
Dubuque, IA 52002-1092
Phone (319) 888-8044

4150 Kimball Ave
Waterloo, IA 50701-9086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Feb 27, 2023 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Feb 27, 2023 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients

Locations

3315 John F Kennedy Rd
Ste E
Dubuque, IA 52002
Phone (319) 888-8044

1560 Boyson Rd
Ste D
Hiawatha, IA 52233
Phone (319) 888-8044

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

2515 Cyclone Dr
Ste B
Waterloo, IA 50701
Phone (319) 833-5970

Interoperability endpoints

  • Direct secure messaging: emily.clinton@cvms.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1508562489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CYCLONE DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019715",
            "telephone_number": "319-888-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "EMILY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A172993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.