Active NPI
Jeanne M Rothamel, RN
- Otorhinolaryngology & Head-Neck Registered Nurse
- Waverly, IA
National Provider Identifier
1619962065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otorhinolaryngology & Head-Neck Registered Nurse
- License
- 059176
- Practice address
- 312 9TH St SW
Ste 3000
Waverly, IA 50677-2929 - Phone
- (319) 352-8891
- Fax
- (319) 352-8896
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otorhinolaryngology & Head-Neck Registered Nurse | 163WX0601X | 059176 | IA | Primary |
Addresses
Primary practice location
312 9TH St SW
Ste 3000
Waverly, IA 50677-2929
Mailing address
312 9TH St SW
Ste 3000
Waverly, IA 50677-2929
Phone (319) 352-8891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059176 | Other | IA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059176 | IA | MD | Otorhinolaryngology & Head-Neck Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619962065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"address_2": "STE 3000",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772929",
"telephone_number": "319-352-8891",
"fax_number": "319-352-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"address_2": "STE 3000",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772929",
"telephone_number": "319-352-8891",
"fax_number": "319-352-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHAMEL",
"first_name": "JEANNE",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0601X",
"taxonomy_group": "",
"desc": "Registered Nurse, Otorhinolaryngology & Head-Neck",
"state": "IA",
"license": "059176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "059176",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.