Individual provider Active NPI

Joshua John Aydelotte, RN-BSN

  • Registered Nurse
  • North Liberty, IA
National Provider Identifier
1811258270
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
127214 Issued in IA
Practice address
191 Alydar Dr
North Liberty, IA 52317-4755
Phone
(319) 491-4035
NPI assigned
Jun 1, 2012
Last updated
Jun 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 127214 IA Primary

Addresses

Primary practice location

191 Alydar Dr
North Liberty, IA 52317-4755

Mailing address

191 Alydar Dr
North Liberty, IA 52317-4755
Phone (319) 491-4035

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
127214IAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1811258270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ALYDAR DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174755",
            "telephone_number": "319-491-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ALYDAR DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174755",
            "telephone_number": "319-491-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDELOTTE",
        "first_name": "JOSHUA",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "127214",
            "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 Jun 1, 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.