Individual provider Active NPI

Michaela Otting, PHARMD

  • Pharmacist
  • Peosta, IA
National Provider Identifier
1629688577
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19021 Issued in IA
Practice address
8456 Peosta Commercial CT
Peosta, IA 52068-7123
Phone
(563) 557-2950
Fax
(563) 557-2955
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19021 IA Primary

Addresses

Primary practice location

8456 Peosta Commercial CT
Peosta, IA 52068-7123

Mailing address

PO Box 67
Peosta, IA 52068-0067
Phone (563) 557-2950

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL michaela.otting@unitypoint.org

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19021IAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1629688577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "PEOSTA",
            "state": "IA",
            "postal_code": "520680067",
            "telephone_number": "563-557-2950",
            "fax_number": "563-557-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8456 PEOSTA COMMERCIAL CT",
            "city": "PEOSTA",
            "state": "IA",
            "postal_code": "520687123",
            "telephone_number": "563-557-2950",
            "fax_number": "563-557-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTING",
        "first_name": "MICHAELA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michaela.otting@unitypoint.org",
            "affiliation": "N",
            "address_1": "8456 Peosta Commercial Ct",
            "city": "Peosta",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520687123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peosta, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.