Andrea Lynn Epping, RN, BSN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

093561 Issued in IA

Practice address

15920 Hickman Road
Suite 400, PMB 506
Clive, IA 50325

Phone

(309) 373-8572

Fax

(877) 874-2463

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Lynn Haywood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1629724232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 44TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654521",
            "telephone_number": "309-373-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 HICKMAN ROAD",
            "address_2": "SUITE 400, PMB 506",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "309-373-8572",
            "fax_number": "877-874-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPING",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "RN, BSN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041342428",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IA",
            "license": "093561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HAYWOOD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Case Management Registered Nurse in Clive, IA
• Providers in Clive, IA by specialty
• Case Management Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.