Active NPI
Shelley Ann Kramer, ARNP
- Nurse Practitioner
- Ankeny, IA
National Provider Identifier
1801905047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LO80456
- Practice address
- 2602 NW Parkridge Dr
Ankeny, IA 50023-9181 - Phone
- (515) 279-1959
- Fax
- (515) 289-0888
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LO80456 | IA | Primary |
Addresses
Primary practice location
2602 NW Parkridge Dr
Ankeny, IA 50023-9181
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other names 1
- Shelley Ann Theilke
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LO80456 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics Inc | Past | Accepting new patients | |
| Mercy Clinics, Inc. | Past | Accepting new patients | |
| Teammd Physicians PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Diagnostic Medicine Clinic
- Internal Medicine Physician
- Des Moines, IA
- NPI 1326062860
-
dba MercyOne Des Moines OB Hospitalists
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
dba TeamMD Nashville Clinic
- Primary Care Clinic/Center
- Nashville, TN
- NPI 1851945752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1801905047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125305",
"telephone_number": "515-237-3974",
"fax_number": "515-883-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 NW PARKRIDGE DR",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239181",
"telephone_number": "515-279-1959",
"fax_number": "515-289-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "SHELLEY",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "LO80456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "THEILKE",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ankeny, IA
- Haris Kovacevic, LMSW
- KP Enterprises Iowa (Axis ABA Therapy and Support Services)
- KP Enterprises Iowa (Axis ABA Therapy and Support Services)
- Nancy Irene Kragel
- Cody Michael Kramer, PT, DPT
- Emma Nicole Kritenbrink
- Kyle Dana Krogh, D.C.
- Stephanie Krois, PHARMD
- Darla Rae Krom, MSW, LISW
- Krueger Chiropractic PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.