Active NPI
Learaes
- Health Service Clinic/Center
- Clinton, IA
National Provider Identifier
1851082408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- LEARAES
- Doing business as
- Renew 122 Health & Wellness
- Practice address
- 122 Main Ave
Clinton, IA 52732-2317 - Phone
- (563) 508-3236
- NPI assigned
- May 16, 2023
- 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. Shona Rae Ernst, APRN
- Title
- Owner/Nurse Practitioner
- Phone
- (563) 508-3236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
122 Main Ave
Clinton, IA 52732-2317
Mailing address
122 Main Ave
Clinton, IA 52732-2317
Phone (563) 206-1138
Other names 1
- Renew 122 Health & Wellness
National Provider Directory
National Provider DirectoryLocations
122 Main Ave
Clinton, IA 52732
Phone (563) 206-1138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1851082408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 MAIN AVE",
"city": "CLINTON",
"state": "IA",
"postal_code": "527322317",
"telephone_number": "563-206-1138",
"fax_number": "563-206-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 MAIN AVE",
"city": "CLINTON",
"state": "IA",
"postal_code": "527322317",
"telephone_number": "563-508-3236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEARAES",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-16",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "ERNST",
"authorized_official_first_name": "SHONA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "563-508-3236",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renew 122 Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.