Active NPI
Department of Veterans Affairs
- Clinic/Center
- Bettendorf, IA
National Provider Identifier
1801932181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 059775
- Legal business name
- DEPARTMENT OF VETERANS AFFAIRS
- Practice address
- 2979 Victoria St
Bettendorf, IA 52722-2784 - Phone
- (563) 332-8528
- Fax
- (563) 332-9331
- NPI assigned
- Jan 30, 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. Christine Kay Delarosa, RN
- Title
- Staff Nurse
- Phone
- (563) 332-8528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 059775 | IA | Primary |
Addresses
Primary practice location
2979 Victoria St
Bettendorf, IA 52722-2784
Mailing address
266-31 Ave.
East Moline, IL 61244
Phone (309) 755-6755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1801932181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266-31 AVE.",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "61244",
"telephone_number": "309-755-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2979 VICTORIA ST",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222784",
"telephone_number": "563-332-8528",
"fax_number": "563-332-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "DELAROSA",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "STAFF NURSE",
"authorized_official_telephone_number": "563-332-8528",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IA",
"license": "059775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.