Individual provider Active NPI

Joan Lee Kitten, ARNP

  • Family Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1629003272
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-106534 Issued in IA
Practice address
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone
(515) 955-7171
NPI assigned
Jul 12, 2006
Last updated
Apr 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A106534 IA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X G106534 IA
Family Nurse Practitioner 363LF0000X A-106534 IA Primary

Addresses

Primary practice location

720 Kenyon Rd
Fort Dodge, IA 50501-5759

Mailing address

750 8TH St
Manson, IA 50563-8010
Phone (712) 469-3472

Other identifiers 2

IdentifierTypeStateIssuer
07466OtherIAWELLMARK BC/BS
0159608MedicaidIA

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
I20060920000048 IA Practitioner - Nurse Practitioner 7517962806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

720 Kenyon Rd
Fort Dodge, IA 50501-5787
Phone (800) 482-8305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-106534IAMDFamily Nurse Practitioner
A106534IAMDPrimary Care Nurse Practitioner
G106534IAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Aug 1, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
North Central Iowa Mental Health Center, Inc CurrentSince Feb 1, 2002 Accepting new patients
North Central Iowa Mental Health Center Inc CurrentSince Feb 1, 2002 Accepting new patients
North Central Iowa Mental Health Center Inc Current Accepting new patients
North Central Iowa Mental Health Center Inc Past Accepting new patients
North Central Iowa Mental Health Center Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients

Locations

720 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 570-8261

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

802 Kenyon Rd
#T
Fort Dodge, IA 50501

123 1st Ave SW
Hampton, IA 50441
Phone (319) 346-1216

212 Lafayette Ave
Story City, IA 50248
Phone (515) 450-1956

Interoperability endpoints

  • Direct secure messaging: jkitten2592@direct.unitypoint.org

Organizations & group practices 11

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 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1629003272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 8TH ST",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505638010",
            "telephone_number": "712-469-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "515-955-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTEN",
        "first_name": "JOAN",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A106534",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IA",
            "license": "G106534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-106534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "07466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.