Active NPI
Mercy Clinics Nurse Practitioners
- Clinic/Center
- Des Moines, IA
National Provider Identifier
1699962159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MERCY CLINICS NURSE PRACTITIONERS
- Practice address
- 1111 6TH Ave.
2ND Floor
Des Moines, IA 50314-2610 - Phone
- (515) 643-7238
- NPI assigned
- Sep 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Cox
- Title
- Credentialing Manager
- Phone
- (515) 643-0724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1111 6TH Ave.
2ND Floor
Des Moines, IA 50314-2610
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-0724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400083 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Neurological Clin
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
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- Hematology & Oncology Physician
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-
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-
- Physical Therapist
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- Physical Therapist
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- Physical Therapist
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- NPI 1720268139
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- Clinic/Center
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- Pediatric Neurodevelopmental Disabilities Physician
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-
- Family Medicine Physician
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-
- Medical Specialty Clinic/Center
- Clive, IA
- NPI 1225462260
-
- Nurse Practitioner
- Des Moines, IA
- NPI 1245570159
Locations
1111 6th Ave
Fl 2
Des Moines, IA 50314
Phone (515) 643-5454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374710400000",
"number": "1699962159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-0724",
"fax_number": "515-643-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE.",
"address_2": "2ND FLOOR",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142610",
"telephone_number": "515-643-7238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINICS NURSE PRACTITIONERS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-28",
"last_updated": "2013-07-25",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "515-643-0724"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400083",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.