Siouxland Pace

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

H8424 Issued in IA

Legal business name

SIOUXLAND PACE

Practice address

1200 Tri View Ave
Sioux City, IA 51103-4900

Phone

(712) 224-7223

Fax

(712) 224-7250

NPI assigned

Apr 11, 2008

Last updated

Dec 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Kent Swanstrom

Title

Executive Director

Phone

(515) 471-9702

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliet Emerald Brinkman, ARNP

  • Nurse Practitioner
  • Sioux City, IA
  • NPI 1740685361
  NPD
• Heidi Braunschweig, ARNP

  • Family Nurse Practitioner
  • Sioux City, IA
  • NPI 1720569007
  NPD (past)
• Peggy Sue Deboer, AGNP

  • Adult Health Nurse Practitioner
  • Sioux City, IA
  • NPI 1356865042
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1669645578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 TRI VIEW AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511034900",
            "telephone_number": "712-224-7223",
            "fax_number": "712-224-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 TRI VIEW AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511034900",
            "telephone_number": "712-224-7223",
            "fax_number": "712-224-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND PACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "SWANSTROM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-471-9702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "IA",
            "license": "H8424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siouxland Medical Transit LLC
• Siouxland Mental Health Services, Inc. (Siouxland Mental Health Center)
• Siouxland Mental Health Servies, Inc
• Siouxland Obstetrics & Gynecology, P.C.
• Siouxland Orthodontics PLLC
• Siouxland Paramedics Inc
• Siouxland Pathology Associates, PC (Siouxland Pathology Associates)
• Siouxland Pathology Group SMHC
• Siouxland Pulmonary Critical Care & Sleep PC
• Siouxland Radiology Partners

• PACE Provider Organization in Sioux City, IA
• Providers in Sioux City, IA by specialty
• PACE Provider Organization in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.