The Weekend Clinic PLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A139678 Issued in IA

Legal business name

THE WEEKEND CLINIC PLC

Practice address

2107 E 12TH St
Davenport, IA 52803-3706

Phone

(563) 362-3312

Fax

(563) 726-7369

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Benmoussa, NPNPI 1568886992

Title

Owner

Phone

(563) 362-3312

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly A Benmoussa, NP

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1568886992

  Family, IA

  Medicare reassignment NPD Authorized official
• Amanda Disch, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1932786837

  Family, IA

  Medicare reassignment NPD
• Sarah A Jauron, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1700156759

  Family

  NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669902755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 E 12TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033706",
            "telephone_number": "563-362-3312",
            "fax_number": "563-726-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 E 12TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033706",
            "telephone_number": "563-362-3312",
            "fax_number": "563-726-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEEKEND CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENMOUSSA",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-362-3312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A139678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Davenport, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.