Organization Active NPI

Iowa Wellness Center

  • Nurse Practitioner
  • North Liberty, IA
National Provider Identifier
1689209793
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
IOWA WELLNESS CENTER
Practice address
1395 Jordan St Ste C
North Liberty, IA 52317-4759
Phone
(319) 289-0666
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Dr. Abdullah Alwahdani
Title
Owner
Phone
(319) 289-0666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1395 Jordan St Ste C
North Liberty, IA 52317-4759

Mailing address

1395 Jordan St Ste C
North Liberty, IA 52317-4759
Phone (319) 289-0666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210217002068 IA Part B Supplier - Clinic/Group Practice 8123433547 Receives reassigned benefits from 1 practitioner
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Locations

1395 Jordan St
Ste C
North Liberty, IA 52317
Phone (319) 289-0666

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1689209793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 JORDAN ST STE C",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174759",
            "telephone_number": "319-289-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 JORDAN ST STE C",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174759",
            "telephone_number": "319-289-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "ALWAHDANI",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-289-0666",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.