NPIMap

Organization Active NPI

Premier Health Associates, Inc.

  • Rehabilitation Clinic/Center
  • West Des Moines, IA
National Provider Identifier
1831167782
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PREMIER HEALTH ASSOCIATES, INC.
Practice address
1454 30TH St
Suite 103
West Des Moines, IA 50266-1312
Phone
(515) 223-6620
Fax
(515) 222-3962
NPI assigned
Mar 8, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Ms. Lynn Trease Janssen, ED.D., CCC-SLPNPI 1386699478
Title
President/Ceo
Phone
(515) 223-6620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

1454 30TH St
Suite 103
West Des Moines, IA 50266-1312

Mailing address

1454 30TH St
Suite 103
West Des Moines, IA 50266-1312
Phone (515) 223-6620

Other identifiers 3

IdentifierTypeStateIssuer
I10279OtherIANORIDIAN MEDICARE PART B
0665190MedicaidIA
66519OtherIAWELLMARK BC/BS

National Provider Directory

National Provider Directory

Locations

850 22nd Ave
Ste 102
Coralville, IA 52241
Phone (319) 354-3131

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1831167782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 30TH ST",
            "address_2": "SUITE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661312",
            "telephone_number": "515-223-6620",
            "fax_number": "515-222-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 30TH ST",
            "address_2": "SUITE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661312",
            "telephone_number": "515-223-6620",
            "fax_number": "515-222-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "TREASE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-223-6620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN MEDICARE PART B",
            "identifier": "I10279",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665190",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "66519",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.