Active NPI
Nancy K Lonsdorf, M.D.
- General Practice Physician
- Fairfield, IA
National Provider Identifier
1689792939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25776
- Practice address
- 1100 N 4TH St Ste 211
Fairfield, IA 52556-2169 - Phone
- (641) 469-3174
- Fax
- (877) 603-3125
- NPI assigned
- Mar 26, 2007
- Last updated
- Dec 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 25776 | IA | Primary |
Addresses
Primary practice location
1100 N 4TH St Ste 211
Fairfield, IA 52556-2169
Mailing address
PO Box 1480
Fairfield, IA 52556-0025
Phone (641) 469-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 6, 2016 through May 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25776 | IA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1689792939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1480",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525560025",
"telephone_number": "641-469-3174",
"fax_number": "877-603-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N 4TH ST STE 211",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525562169",
"telephone_number": "641-469-3174",
"fax_number": "877-603-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONSDORF",
"first_name": "NANCY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IA",
"license": "25776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IA
- David Kent Larson, M.D.
- Susana Haydee Liberona Ouellette, NURSE
- Randall Ardell Liebe, O.D.
- Lindberg Chiropractic Clinic PC
- Tracy Liptak, LISW
- Hannah Marie Losey, PT, DPT, ATC
- Karen S Machholzwesely, COTA
- Madison County Medical Equipment Inc (Jackson Medical Supply)
- Maharishi International University
- Jaime Ann Martin, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.