Organization Active NPI

Allergy and Asthma Associates of the Mississippi Valley, PLLC

  • Allergy & Immunology Physician
  • Davenport, IA
National Provider Identifier
1891027603
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
26115 Issued in IA
Legal business name
ALLERGY AND ASTHMA ASSOCIATES OF THE MISSISSIPPI VALLEY, PLLC
Practice address
2112 E 38TH St
Davenport, IA 52807-1135
Phone
(563) 359-0324
Fax
(563) 359-9409
NPI assigned
Feb 3, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Andrea Lynn JonesNPI 1750673984
Title
Owner/Physician
Phone
(563) 359-9409

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100226000083 IA Part B Supplier - Clinic/Group Practice 8426193616 Receives reassigned benefits from 1 practitioner
Practice locations: Davenport, IA

National Provider Directory

National Provider Directory

Locations

2112 E 38th St
Davenport, IA 52807
Phone (563) 359-0324

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 26115 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

2112 E 38TH St
Davenport, IA 52807-1135

Mailing address

2112 E 38TH St
Davenport, IA 52807-1135
Phone (563) 359-0324

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2025.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742083200000",
    "number": "1891027603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 E 38TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071135",
            "telephone_number": "563-359-0324",
            "fax_number": "563-359-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 E 38TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071135",
            "telephone_number": "563-359-0324",
            "fax_number": "563-359-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA ASSOCIATES OF THE MISSISSIPPI VALLEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "563-359-9409"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "26115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.