Active NPI
Heart of the Valley Healthcare PC
- Family Nurse Practitioner
- Elgin, IA
National Provider Identifier
1710925797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-112377
- Legal business name
- HEART OF THE VALLEY HEALTHCARE PC
- Practice address
- 1014 Main St
Elgin, IA 52141-9616 - Phone
- (563) 426-5136
- Fax
- (563) 426-5139
- NPI assigned
- Jun 3, 2006
- Last updated
- Sep 6, 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
- Ms. Sharon Eileen J Harris, APRN
- Title
- Ceo
- Phone
- (563) 426-5136
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-112377 | IA | Primary |
Addresses
Primary practice location
1014 Main St
Elgin, IA 52141-9616
Mailing address
1014 Main St
Elgin, IA 52141-9616
Phone (563) 426-5136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I11817 | Other | IA | INDV. MEDICARE LEGACY |
| 0499350 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1014 Main St
Elgin, IA 52141
Phone (319) 426-5583
Interoperability endpoints
- https://api.platform.athenahealth.com/10294/brand/1/csg/1/fhir/r4
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.
-
- Family Nurse Practitioner
- Elgin, IA
- NPI 1902848138
-
- Family Medicine Physician
- Postville, IA
- NPI 1396741385
-
- Family Medicine Physician
- West Union, IA
- NPI 1225031883
-
- Family Medicine Physician
- West Union, IA
- NPI 1285636456
-
- Medical Physician Assistant
- West Union, IA
- NPI 1780689174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189036800000",
"number": "1710925797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 MAIN ST",
"city": "ELGIN",
"state": "IA",
"postal_code": "521419616",
"telephone_number": "563-426-5136",
"fax_number": "563-426-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 MAIN ST",
"city": "ELGIN",
"state": "IA",
"postal_code": "521419616",
"telephone_number": "563-426-5136",
"fax_number": "563-426-5139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART OF THE VALLEY HEALTHCARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-09-06",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "EILEEN J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "563-426-5136",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-112377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDV. MEDICARE LEGACY",
"identifier": "I11817",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0499350",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.