Active NPI
Kerri Rupe, ARNP
- Family Nurse Practitioner
- Ottumwa, IA
National Provider Identifier
1871546424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A061506
- Practice address
- 201 S Market St
Ottumwa, IA 52501-2924 - Phone
- (641) 683-5773
- Fax
- (641) 226-5759
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A061506 | IA | Primary |
Addresses
Primary practice location
201 S Market St
Ottumwa, IA 52501-2924
Mailing address
201 S Market St
P.O. Box 458
Ottumwa, IA 52501-2924
Phone (641) 683-5773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0221176 | Medicaid | IA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A061506 | IA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1871546424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S MARKET ST",
"address_2": "P.O. BOX 458",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012924",
"telephone_number": "641-683-5773",
"fax_number": "641-226-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S MARKET ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012924",
"telephone_number": "641-683-5773",
"fax_number": "641-226-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPE",
"first_name": "KERRI",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A061506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0221176",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.