NPIMap

Individual provider Active NPI

Taylor Whitt, NP

  • Nurse Practitioner
  • Clive, IA
National Provider Identifier
1639796667
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A159404 Issued in IA
Practice address
12129 University Ave Ste 100
Clive, IA 50325-8298
Phone
(515) 400-3550
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A159404 IA Primary

Addresses

Primary practice location

12129 University Ave Ste 100
Clive, IA 50325-8298

Mailing address

12129 University Ave Ste 100
Clive, IA 50325-8298
Phone (515) 400-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803001616 IA Practitioner - Nurse Practitioner 1355745076 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center of Iowa PLLCGroup PAC ID 1658701834, 32 clinicians

Practice addresses (Care Compare)

12129 University Ave
Clive, IA 50325-8287
Phone (515) 400-3550

13375 University Ave
Suite 100
Clive, IA 50325-8262
Phone (515) 400-3550

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1000

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8000

700 E Uinversity Ave
Des Moines, IA 50316-2302
Phone (515) 263-5612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center of Iowa PLLC CurrentSince Jul 12, 2021 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Broadlawns Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Knoxville Community Hospital Inc Nurse Practitioner CurrentSince Aug 30, 2024 Accepting new patients
Urology Partners of North Texas, PLLC PastSince Mar 3, 2024 Accepting new patients

Locations

12129 University Ave
Ste 200
Clive, IA 50325

12129 University Ave
Ste 100
Clive, IA 50325
Phone (515) 400-3550

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10390883
  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
  • Direct secure messaging: twhitt131592@direct.unitypoint.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1639796667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12129 UNIVERSITY AVE STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258298",
            "telephone_number": "515-400-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 UNIVERSITY AVE STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258298",
            "telephone_number": "515-400-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "TAYLOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A159404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.