Individual provider Active NPI

Jane D Zehr, PA-C

  • Physician Assistant
  • Waverly, IA
National Provider Identifier
1700856663
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001056 Issued in IA
Practice address
100 Wartburg Blvd Ste 1392
Wartburg-Waverly Sports and Wellness Center
Waverly, IA 50677-2215
Phone
(319) 352-8436
Fax
(319) 352-3992
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001056 IA Primary

Addresses

Primary practice location

100 Wartburg Blvd Ste 1392
Wartburg-Waverly Sports and Wellness Center
Waverly, IA 50677-2215

Mailing address

100 Wartburg Blvd Ste 1392
Wartburg-Waverly Sports and Wellness Center
Waverly, IA 50677-2215
Phone (319) 352-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001056IAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1700856663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARTBURG BLVD STE 1392",
            "address_2": "WARTBURG-WAVERLY SPORTS AND WELLNESS CENTER",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772215",
            "telephone_number": "319-352-8436",
            "fax_number": "319-352-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARTBURG BLVD STE 1392",
            "address_2": "WARTBURG-WAVERLY SPORTS AND WELLNESS CENTER",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772215",
            "telephone_number": "319-352-8436",
            "fax_number": "319-352-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHR",
        "first_name": "JANE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.