NPIMap

Organization Active NPI

Planned Parenthood of the Heartland

  • Women's Health Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1629018973
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F084106 Issued in IA
Legal business name
PLANNED PARENTHOOD OF THE HEARTLAND
Practice address
30 N 27TH Street
Fort Dodge, IA 50501-3710
Phone
(866) 290-4325
Fax
(515) 280-9525
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Randy Drager
Title
Cfo
Phone
(651) 698-2406

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01898 IA
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X F084106 IA Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X F084718 IA

Addresses

Primary practice location

30 N 27TH Street
Fort Dodge, IA 50501-3710

Mailing address

671 Vandalia St
Attn: PPH
St. Paul, MN 55114-1312
Phone (866) 290-4325

Other identifiers 1

IdentifierTypeStateIssuer
0057570MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of G24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1629018973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "address_2": "ATTN: PPH",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "866-290-4325",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 27TH STREET",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013710",
            "telephone_number": "866-290-4325",
            "fax_number": "515-280-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE HEARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "DRAGER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-698-2406"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01898",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F084106",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F084718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.