Individual provider Active NPI

Billi Niemeier, FNP

  • Nurse Practitioner
  • Lake Park, IA
National Provider Identifier
1699447870
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F10210124 Issued in IA
Practice address
222 Market St
Lake Park, IA 51347-7866
Phone
(712) 432-8129
Fax
(855) 800-9222
NPI assigned
Oct 5, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F10210124 IA Primary

Addresses

Primary practice location

222 Market St
Lake Park, IA 51347-7866

Mailing address

222 Market St
Lake Park, IA 51347-7866
Phone (712) 432-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104001104 IA Practitioner - Nurse Practitioner 3375931744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10210124IAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1699447870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MARKET ST",
            "city": "LAKE PARK",
            "state": "IA",
            "postal_code": "513477866",
            "telephone_number": "712-432-8129",
            "fax_number": "855-800-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARKET ST",
            "city": "LAKE PARK",
            "state": "IA",
            "postal_code": "513477866",
            "telephone_number": "712-432-8129",
            "fax_number": "855-800-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEIER",
        "first_name": "BILLI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "F10210124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, IA

Sources for this page

Verify at the official NPI Registry.