Active NPI
Allergy and Asthma Associates of the Mississippi Valley, PLLC
- Allergy & Immunology Physician
- Davenport, IA
National Provider Identifier
1891027603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 26115
- 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
- Last updated
- Mar 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Lynn Jones
- 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.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 26115 | IA | Primary |
Addresses
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2112 E 38th St
Davenport, IA 52807
Phone (563) 359-0324
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Allergy & Immunology Physician
- Davenport, IA
- NPI 1750673984
-
- Allergy & Immunology Physician
- Davenport, IA
- NPI 1346551991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.