Iowa Wellness Clinic PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

IOWA WELLNESS CLINIC PLLC

Practice address

3555 Stone Creek Cir SW
Cedar Rapids, IA 52404-1240

Phone

(319) 693-8800

Fax

(319) 208-2273

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Shannon Marie Braslavsky, APRNNPI 1881001899

Title

Owner

Phone

(501) 943-9070

Specialties & licenses 2

Addresses

Other names 1

• Vitaluty Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Braslavsky, AGPNP-BC

  • Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1881001899
  NPD Authorized official

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1811748049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 B AVE NE",
            "city": "WALFORD",
            "state": "IA",
            "postal_code": "523518018",
            "telephone_number": "501-943-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 STONE CREEK CIR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041240",
            "telephone_number": "319-693-8800",
            "fax_number": "319-208-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "BRASLAVSKY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-943-9070",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitaluty Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Susan Marie Ireland, M.D.
• Irving Point Limited Partnership
• Isenhour Counseling, LLC
• Victoria Rose Isenhour, L.M.S.W.
• Austin Alan Isham, DPT

• Nurse Practitioner in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.