County of Wapello

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

167038 Issued in IA

Legal business name

COUNTY OF WAPELLO

Practice address

108 E Main St
Ottumwa, IA 52501-2910

Phone

(641) 682-5434

Fax

(641) 682-2245

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lynelle Devee Diers, RN,BSN,BSW

Title

Clinical Director

Phone

(641) 682-5434

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1710975974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012910",
            "telephone_number": "641-682-5434",
            "fax_number": "641-682-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012910",
            "telephone_number": "641-682-5434",
            "fax_number": "641-682-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAPELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "DIERS",
        "authorized_official_first_name": "LYNELLE",
        "authorized_official_middle_name": "DEVEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "641-682-5434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN,BSW"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "IA",
            "license": "167038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles David Coram, D.C.
• Cornerstone Caregiving East LLC
• Cosgrove Chiropractic Clinic LLC
• Thomas M Cosgrove
• Gary D Cottington, BS PHARMACY
• Allison Marie Crall, ARNP
• Whitney E Criswell, P.T.A.
• Janet A Crouch, LMHC
• CT Imaging Service
• Brent Cullinan, D.C.

• Home Health Registered Nurse in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Home Health Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.