Individual provider Active NPI

Elizabeth Lavon Westermann, DNP

  • Certified Registered Nurse Anesthetist
  • Coralville, IA
National Provider Identifier
1649510355
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D127555 Issued in IA
Practice address
808 5TH St Ste 4
Coralville, IA 52241-2322
Phone
(319) 337-8329
Fax
(319) 337-8692
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D127555 IA Primary

Addresses

Primary practice location

808 5TH St Ste 4
Coralville, IA 52241-2322

Mailing address

808 5TH St Ste 4
Coralville, IA 52241-2322
Phone (319) 337-8329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016001408 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123337987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corridor Ketamine LLCGroup PAC ID 2567857725, 8 clinicians

Practice addresses (Care Compare)

1740 Lininger LN
North Liberty, IA 52317-2322
Phone (319) 337-8329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D127555IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Corridor Ketamine LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Waverly Health Center CurrentSince Aug 1, 2022 Accepting new patients
Eastside Family Chiropractic, LLC PastSince Jul 23, 2023 Accepting new patients

Locations

1900 James St
Ste 1
Coralville, IA 52241
Phone (319) 337-8329

808 5th St
Ste 4
Coralville, IA 52241
Phone (319) 333-1299

5107 Utica Ridge Rd
Davenport, IA 52807
Phone (319) 337-8329

1740 Lininger Ln
North Liberty, IA 52317
Phone (319) 328-8615

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1649510355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 5TH ST STE 4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412322",
            "telephone_number": "319-337-8329",
            "fax_number": "319-337-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 5TH ST STE 4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412322",
            "telephone_number": "319-337-8329",
            "fax_number": "319-337-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMANN",
        "first_name": "ELIZABETH",
        "middle_name": "LAVON",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D127555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.