Active NPI
North Liberty Family Health Centre, P.C.
- Family Medicine Physician
- North Liberty, IA
National Provider Identifier
1780736256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH LIBERTY FAMILY HEALTH CENTRE, P.C.
- Practice address
- 585 W Cherry St
North Liberty, IA 52317-9797 - Phone
- (319) 626-6006
- Fax
- (319) 626-3400
- NPI assigned
- Jan 17, 2007
- 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
- Ms. Denise Kaestner, RN
- Title
- Office Manager
- Phone
- (319) 626-6006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
585 W Cherry St
North Liberty, IA 52317-9797
Mailing address
PO Box 260
North Liberty, IA 52317-0260
Phone (319) 626-6006
National Provider Directory
National Provider DirectoryLocations
420 Community Dr
Ste 1
North Liberty, IA 52317
Phone (319) 626-6006
585 W Cherry St
North Liberty, IA 52317
Phone (319) 626-6006
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1871242107
-
- Medical Physician Assistant
- North Liberty, IA
- NPI 1891847935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780736256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523170260",
"telephone_number": "319-626-6006",
"fax_number": "319-626-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 W CHERRY ST",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179797",
"telephone_number": "319-626-6006",
"fax_number": "319-626-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH LIBERTY FAMILY HEALTH CENTRE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAESTNER",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "319-626-6006",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.