Hair Care on Fifth Inc

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Legal business name

HAIR CARE ON FIFTH INC

Practice address

1103 5TH St
Nevada, IA 50201-1816

Phone

(515) 382-6633

Fax

(515) 382-8084

NPI assigned

Jan 30, 2006

Last updated

Mar 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Doreen F Gillespie

Title

President

Phone

(515) 382-6633

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1720059538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 5TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011816",
            "telephone_number": "515-382-6633",
            "fax_number": "515-382-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 5TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011816",
            "telephone_number": "515-382-6633",
            "fax_number": "515-382-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR CARE ON FIFTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-382-6633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "055629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND CHOICE",
            "identifier": "F247674",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234914",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allison Ek Herman, OTR/L
• Kaitlyn Hersey, OTR/L
• Shane M Higgins, PA

• Orthotic Fitter in Nevada, IA
• Providers in Nevada, IA by specialty
• Orthotic Fitter in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.