Active NPI
Kristi Lynn Vanleeuwen, ARNP
- Gerontology Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1740652577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- H095136
- Practice address
- 1221 Pleasant Street
Suite 100
Des Moines, IA 50309 - Phone
- (515) 282-2921
- Fax
- (515) 282-1035
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | H095136 | IA | |
| Gerontology Nurse Practitioner | 363LG0600X | H095136 | IA | Primary |
Addresses
Primary practice location
1221 Pleasant Street
Suite 100
Des Moines, IA 50309
Mailing address
1221 Pleasant Street
Suite 100
Des Moines, IA 50309
Phone (515) 282-2921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H095136 | Other | IA | ARNP LICENSE NUMBER |
Other names 1
- Kristi Lynn Dengler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151120000965 | IA | Practitioner - Nurse Practitioner | 5698085785 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H095136 | IA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1740652577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PLEASANT STREET",
"address_2": "SUITE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-282-2921",
"fax_number": "515-282-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PLEASANT STREET",
"address_2": "SUITE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-282-2921",
"fax_number": "515-282-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLEEUWEN",
"first_name": "KRISTI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "H095136",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IA",
"license": "H095136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE NUMBER",
"identifier": "H095136",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTI",
"last_name": "DENGLER",
"middle_name": "LYNN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.