Blank Childrens Hosptial

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C-119097 Issued in IA

Legal business name

BLANK CHILDRENS HOSPTIAL

Practice address

406 SW School St
Ankeny, IA 50023-3056

Phone

(515) 289-3960

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By 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. Lindsey Marie Fredericksen, ARNP

Title

Pediatric Nurse Practitioner

Phone

(515) 771-6691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1750633087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SW SCHOOL ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233056",
            "telephone_number": "515-289-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANK CHILDRENS HOSPTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "FREDERICKSEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "515-771-6691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IA",
            "license": "C-119097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bjerke Chiropractic PC
• Benjamin Black
• Rachel Blagg, PA-C
• Whitney Blakeman, PA-C
• Stephanie M Blanchard, MA, CADC, LMHC
• Blankenship Health LLC
• Angelina Blass, DDS
• Bloyer Chiropractic and Wellness
• Kevin William Bloyer, D.C.
• Morgan Newcom Bluml, PHARMD

• Primary Care Clinic/Center in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.