Active NPI
Pno, Inc.
- Clinical Social Worker
- Cedar Rapids, IA
National Provider Identifier
1902096449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PNO, INC.
- Practice address
- 2720 1St Ave NE
Suite #25
Cedar Rapids, IA 52402-4832 - Phone
- (319) 363-4082
- Fax
- (319) 363-2430
- NPI assigned
- Jul 31, 2007
- 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
- Ms. Pamela Rae Nelson-O'Neil, LISW, MSW, ACSW
- Title
- Owner/Practitioner
- Phone
- (319) 363-4082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2720 1St Ave NE
Suite #25
Cedar Rapids, IA 52402-4832
Mailing address
2720 1St Ave NE
Suite #25
Cedar Rapids, IA 52402-4832
Phone (319) 363-4082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0425108 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1956 1st Ave NE
Ste 7
Cedar Rapids, IA 52402
Phone (319) 362-3396
2720 1st Ave NE
Ste 25
Cedar Rapids, IA 52402
Phone (319) 363-4082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234915200000",
"number": "1902096449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 1ST AVE NE",
"address_2": "SUITE #25",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024832",
"telephone_number": "319-363-4082",
"fax_number": "319-363-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 1ST AVE NE",
"address_2": "SUITE #25",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024832",
"telephone_number": "319-363-4082",
"fax_number": "319-363-2430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PNO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2009-02-18",
"status": "A",
"authorized_official_last_name": "NELSON-O'NEIL",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "319-363-4082",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LISW, MSW, ACSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0425108",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.