Organization Active NPI

Woman to Woman Clinic, PLC

  • Clinic/Center
  • Estherville, IA
National Provider Identifier
1710019534
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WOMAN TO WOMAN CLINIC, PLC
Practice address
619 2ND Ave N
Estherville, IA 51334-1942
Phone
(888) 209-0305
Fax
(952) 442-3620
NPI assigned
Mar 9, 2007
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Krystine Kay Brashear, ARNPNPI 1043389877
Title
President
Phone
(712) 362-2404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Family Nurse Practitioner 363LF0000X NU
Women's Health Nurse Practitioner 363LW0102X NU

Addresses

Primary practice location

619 2ND Ave N
Estherville, IA 51334-1942

Mailing address

400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305

Other practice location 1

508 W Central Ave
Suite B
Estherville, IA 51334-1834
Phone (712) 362-2404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000030 IA Part B Supplier - Clinic/Group Practice 1355449976 Receives reassigned benefits from 5 practitioners
Practice locations: Estherville, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1061524Woman to Woman Clinic619 2ND Avenue North, Estherville, IA 51334Provider-performed microscopyNov 19, 2026

National Provider Directory

National Provider Directory

Locations

619 2nd Ave N
Estherville, IA 51334
Phone (712) 362-2404

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1710019534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 2ND AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341942",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 W Central Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Estherville",
            "state": "IA",
            "postal_code": "513341834",
            "country_code": "US",
            "telephone_number": "712-362-2404",
            "fax_number": "712-362-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMAN TO WOMAN CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "BRASHEAR",
        "authorized_official_first_name": "KRYSTINE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-362-2404",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estherville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.