Organization Active NPI

Blank Cancer & Blood Disorders Center

  • Oncology Clinic/Center
  • Des Moines, IA
National Provider Identifier
1902350812
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
20163 Issued in IA
Legal business name
BLANK CANCER & BLOOD DISORDERS CENTER
Practice address
1215 Pleasant St
Suite 514
Des Moines, IA 50309-1416
Phone
(515) 241-8042
Fax
(515) 241-8988
NPI assigned
Aug 9, 2016
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Kathryn Nicole Juhl, PHARMD
Title
Pediatric Oncology Pharmacist
Phone
(515) 241-8042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 20163 IA Primary

Addresses

Primary practice location

1215 Pleasant St
Suite 514
Des Moines, IA 50309-1416

Mailing address

1215 Pleasant St
Suite 514
Des Moines, IA 50309-1416
Phone (515) 241-8042

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2068237Blank Children's Cancer and Blood Disorders Center1215 Pleasant, Suite 514, Des Moines, IA 50309Certificate of waiverJul 19, 2028
16D2068238Blank Children's Cancer and Blood Disorders Center1215 Pleasant, Suite 500, Des Moines, IA 50309Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory

Locations

1215 Pleasant St
Ste 514
Des Moines, IA 50309
Phone (515) 241-8912

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1902350812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "SUITE 514",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091416",
            "telephone_number": "515-241-8042",
            "fax_number": "515-241-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "SUITE 514",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091416",
            "telephone_number": "515-241-8042",
            "fax_number": "515-241-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANK CANCER & BLOOD DISORDERS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "JUHL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PEDIATRIC ONCOLOGY PHARMACIST",
        "authorized_official_telephone_number": "515-241-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "IA",
            "license": "20163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.