NPIMap

Organization Active NPI

County of Black Hawk

  • Public Health or Welfare Agency
  • Waterloo, IA
National Provider Identifier
1891194353
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF BLACK HAWK
Practice address
1407 Independence Ave FL 5
Waterloo, IA 50703-4396
Phone
(319) 291-2413
Fax
(319) 291-2418
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. Nafissa Cisse Egbuonye
Title
Director
Phone
(319) 291-2413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1407 Independence Ave FL 5
Waterloo, IA 50703-4396

Mailing address

1407 Independence Ave FL 5
Waterloo, IA 50703-4396
Phone (319) 291-2413

Other identifiers 1

IdentifierTypeStateIssuer
0108381MedicaidIA

Other names 1

  • Black Hawk County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black Hawk County Health Department4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1891194353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 INDEPENDENCE AVE FL 5",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034396",
            "telephone_number": "319-291-2413",
            "fax_number": "319-291-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 INDEPENDENCE AVE FL 5",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034396",
            "telephone_number": "319-291-2413",
            "fax_number": "319-291-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BLACK HAWK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "EGBUONYE",
        "authorized_official_first_name": "NAFISSA",
        "authorized_official_middle_name": "CISSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-291-2413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108381",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hawk County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.