Active NPI
Blank Cancer & Blood Disorders Center
- Oncology Clinic/Center
- Des Moines, IA
National Provider Identifier
1902350812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- License
- 20163
- 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, 2016
- 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
- Dr. Kathryn Nicole Juhl, PHARMD
- Title
- Pediatric Oncology Pharmacist
- Phone
- (515) 241-8042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2068237 | Blank Children's Cancer and Blood Disorders Center | Certificate of waiver | Jul 19, 2028 |
| 16D2068238 | Blank Children's Cancer and Blood Disorders Center | Certificate of waiver | Oct 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.