NPIMap

Organization Active NPI

Planned Parenthood of the Heartlan

  • Women's Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1730219742
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
076357 Issued in IA
Legal business name
PLANNED PARENTHOOD OF THE HEARTLAN
Practice address
3425 1St Ave SE Suite 100
Planned Parenthood of the Heartland Cedar Rapids Clinic
Cedar Rapids, IA 52402-6005
Phone
(319) 363-8572
Fax
(319) 297-7129
NPI assigned
Mar 7, 2007
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Randy Drager
Title
Cfo
Phone
(651) 698-2406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421132892 IA
Women's Health Nurse Practitioner 363LW0102X 076357 IA Primary

Addresses

Primary practice location

3425 1St Ave SE Suite 100
Planned Parenthood of the Heartland Cedar Rapids Clinic
Cedar Rapids, IA 52402-6005

Mailing address

671 Vandalia St
Attn: PPH
St. Paul, MN 55114-1312
Phone (866) 290-4325

Other identifiers 1

IdentifierTypeStateIssuer
GROUP0057570MedicaidIA

Other names 1

  • Planned Parenthood of East Central Iowa Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of the Heartlan24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

3425 1st Ave SE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 363-8572

1171 7th St
Des Moines, IA 50314
Phone (515) 235-0429

Practitioners & affiliated clinicians

Practitioners 4

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1730219742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "address_2": "ATTN: PPH",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "866-290-4325",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 1ST AVE SE SUITE 100",
            "address_2": "PLANNED PARENTHOOD OF THE HEARTLAND CEDAR RAPIDS CLINIC",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026005",
            "telephone_number": "319-363-8572",
            "fax_number": "319-297-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE HEARTLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "DRAGER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-698-2406"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "421132892",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "076357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP0057570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood of East Central Iowa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.