Active NPI
Nichole Lea Barkhaus, RN
- Nutrition Support Registered Nurse
- Altoona, IA
National Provider Identifier
1871266692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Registered Nurse
- License
- 107357
- Practice address
- 607 8TH St SW Ste B
Altoona, IA 50009-2315 - Phone
- (515) 979-7800
- NPI assigned
- Jul 28, 2021
- Last updated
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | 107357 | IA | Primary |
Addresses
Primary practice location
607 8TH St SW Ste B
Altoona, IA 50009-2315
Mailing address
607 8TH St SW Ste B
Altoona, IA 50009-2315
Phone (515) 979-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107357 | IA | MD | Nutrition Support Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1871266692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 8TH ST SW STE B",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092315",
"telephone_number": "515-979-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 8TH ST SW STE B",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092315",
"telephone_number": "515-979-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKHAUS",
"first_name": "NICHOLE",
"middle_name": "LEA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "IA",
"license": "107357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.