Active NPI
Jacqueline Hojati PLLC
- Family Nurse Practitioner
- Urbandale, IA
National Provider Identifier
1750145777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline S Hojati
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240312000243 | IA | Part B Supplier - Clinic/Group Practice | 5890131965 |
Receives reassigned benefits from 1 practitioner Practice locations: Urbandale, IA |
National Provider Directory
National Provider DirectoryLocations
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.