Active NPI
Kara Lynn Niles, LMSW
- Social Worker
- West Des Moines, IA
National Provider Identifier
1871162867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107329
- Practice address
- 6600 Westown Pkwy Ste 240
West Des Moines, IA 50266-7714 - Phone
- (515) 401-1010
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 107329 | IA | Primary |
Addresses
Primary practice location
6600 Westown Pkwy Ste 240
West Des Moines, IA 50266-7714
Mailing address
12605 Horton Ave
Urbandale, IA 50323-2329
Phone (712) 212-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 19, 2023 through Dec 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107329 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KKP Holdings LLC | Social Worker | Current | Accepting new patients |
Organizations & group practices 1
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": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1871162867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 HORTON AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232329",
"telephone_number": "712-212-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 WESTOWN PKWY STE 240",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502667714",
"telephone_number": "515-401-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILES",
"first_name": "KARA",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "107329",
"primary": true
}
],
"identifiers": [],
"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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.