Organization Active NPI

Jacqueline Hojati PLLC

  • Family Nurse Practitioner
  • Urbandale, IA
National Provider Identifier
1750145777
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JACQUELINE HOJATI PLLC
Practice address
2633 86TH St
Urbandale, IA 50322-4309
Phone
(515) 250-0913
Fax
(515) 598-7697
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Jacqueline S HojatiNPI 1689286502
Title
Owner
Phone
(515) 252-2552

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2633 86TH St
Urbandale, IA 50322-4309

Mailing address

2633 86TH St
Urbandale, IA 50322-4309
Phone (515) 252-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312000243 IA Part B Supplier - Clinic/Group Practice 5890131965 Receives reassigned benefits from 1 practitioner
Practice locations: Urbandale, IA

National Provider Directory

National Provider Directory

Locations

2633 86th St
Urbandale, IA 50322
Phone (515) 250-0913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1750145777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-252-2552",
            "fax_number": "515-598-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-250-0913",
            "fax_number": "515-598-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE HOJATI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "HOJATI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-252-2552"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.

Verify at the official NPI Registry.