Individual provider Active NPI

Virginia Ann Uhlenkamp, ARNP

  • Family Nurse Practitioner
  • Carroll, IA
National Provider Identifier
1912188780
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-062965 Issued in IA
Practice address
405 S Clark St
Suite 215
Carroll, IA 51401-3065
Phone
(712) 792-4368
Fax
(712) 792-2056
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-062965 IA Primary

Addresses

Primary practice location

405 S Clark St
Suite 215
Carroll, IA 51401-3065

Mailing address

405 S Clark St
Suite 215
Carroll, IA 51401-3065
Phone (712) 792-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-062965IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellendorf ENT, P.C. PastSince Sep 4, 1996 Accepting new patients
Western Iowa Surgery Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.236

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1912188780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "SUITE 215",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013065",
            "telephone_number": "712-792-4368",
            "fax_number": "712-792-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "SUITE 215",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013065",
            "telephone_number": "712-792-4368",
            "fax_number": "712-792-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHLENKAMP",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-062965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.