Organization Active NPI

Innovaire Primary Health PLLC

  • Primary Care Nurse Practitioner
  • Burlington, IA
National Provider Identifier
1871324038
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
INNOVAIRE PRIMARY HEALTH PLLC
Practice address
515 N 3Rd St
Burlington, IA 52601-5238
Phone
(319) 759-4999
NPI assigned
Aug 9, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Angela HedgesNPI 1821829078
Title
Manager
Phone
(319) 428-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

515 N 3Rd St
Burlington, IA 52601-5238

Mailing address

515 N 3Rd St
Burlington, IA 52601-5238
Phone (319) 428-9355

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2310398Innovaire Primary Health515 North 3Rd St, Burlington, IA 52601Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Locations

515 N 3rd St
Burlington, IA 52601
Phone (319) 428-9355

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1871324038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015238",
            "telephone_number": "319-428-9355",
            "fax_number": "319-671-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015238",
            "telephone_number": "319-759-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAIRE PRIMARY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-428-9355"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.