Individual provider Active NPI

Nancy Irene Kragel

  • Speech-Language Pathologist
  • Ankeny, IA
National Provider Identifier
1780924662
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01276 Issued in IA
Practice address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone
(515) 289-9605
Fax
(515) 965-1186
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01276 IA Primary

Addresses

Primary practice location

715 SW Ankeny Rd
Ankeny, IA 50023-9798

Mailing address

2802 SW Tradition Cir
Ankeny, IA 50023-8922

Other names 1

  • Nancy Irene Douglas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01276IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1780924662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 SW TRADITION CIR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-289-9605",
            "fax_number": "515-965-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAGEL",
        "first_name": "NANCY",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "01276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "DOUGLAS",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.