NPIMap

Individual provider Active NPI

Michele L. Friedman, A.R.N.P.

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1508844465
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A-104053 Issued in IA
Practice address
1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916
Phone
(319) 235-3697
Fax
(319) 235-3844
NPI assigned
Jan 2, 2006
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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 A-104053 IA Primary

Addresses

Primary practice location

1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916

Mailing address

1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916
Phone (319) 235-3697

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
I20051011000676 IA Practitioner - Nurse Practitioner 3678598489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

146 W Dale St
Suite 201
Waterloo, IA 50703-1901
Phone (319) 226-9888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-104053IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Feb 28, 2023 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Feb 28, 2023 Accepting new patients
Allen Memorial Hospital Corporation Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jun 16, 2014 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Trinity Medical Center Nurse Practitioner Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

101 E J Ave
Ste 120
Grundy Center, IA 50638
Phone (319) 824-6945

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

146 W Dale St
Ste 201
Waterloo, IA 50703
Phone (319) 234-4431

1655 E San Marnan Dr
Ste H
Waterloo, IA 50702
Phone (319) 232-2281

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1825 Logan Ave
Ste 201
Waterloo, IA 50703

Interoperability endpoints

  • Direct secure messaging: mfriedman108268@direct.unitypoint.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 9

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": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1508844465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MICHELE",
        "middle_name": "L.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-02",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-104053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.