Skylar Dawn Poffenberger, RN

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

154738 Issued in IA

Practice address

264 Shiloh Rose Pkwy SW
Bondurant, IA 50035-1450

Phone

(515) 650-0378

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1558069807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 SHILOH ROSE PKWY SW",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 SHILOH ROSE PKWY SW",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351450",
            "telephone_number": "515-650-0378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 30th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503105753",
            "country_code": "US",
            "telephone_number": "515-699-5529 x24423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POFFENBERGER",
        "first_name": "SKYLAR",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IA",
            "license": "154738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Bondurant, IA
• Providers in Bondurant, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.