Individual provider Active NPI

Lisa Kamphuis, ARNP

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1861489486
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
077227 Issued in IA
Practice address
4507 Forest Ave
Des Moines, IA 50311-2446
Phone
(515) 243-6309
Fax
(515) 283-2502
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 077227 IA Primary

Addresses

Primary practice location

4507 Forest Ave
Des Moines, IA 50311-2446

Mailing address

4507 Forest Ave
Des Moines, IA 50311-2446
Phone (515) 243-6309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2011 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Woman Health LLC Past Accepting new patients
Boone County Hospital Past Accepting new patients
Planned Parenthood of the Heartland, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1861489486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 FOREST AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503112446",
            "telephone_number": "515-243-6309",
            "fax_number": "515-283-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 FOREST AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503112446",
            "telephone_number": "515-243-6309",
            "fax_number": "515-283-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPHUIS",
        "first_name": "LISA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "077227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.