Organization Active NPI

Child Protection Response Center

  • Child Abuse Pediatrics Physician
  • Davenport, IA
National Provider Identifier
1912281940
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
License
26138 Issued in IA
Legal business name
CHILD PROTECTION RESPONSE CENTER
Practice address
1230 E Rusholme St
Mob2, Lower Level, Suite 1
Davenport, IA 52803-2452
Phone
(563) 421-7160
Fax
(563) 421-7161
NPI assigned
Oct 10, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Barbara A. Harre, MDNPI 1982654349
Title
Director
Phone
(563) 421-7160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Abuse Pediatrics Physician 2080C0008X 26138 IA Primary

Addresses

Primary practice location

1230 E Rusholme St
Mob2, Lower Level, Suite 1
Davenport, IA 52803-2452

Mailing address

865 Lincoln Rd
Suite L10
Bettendorf, IA 52722-4190
Phone (563) 355-9200

National Provider Directory

National Provider Directory

Locations

116 E Locust St
Davenport, IA 52803

1230 E Rusholme St
Bldg 2
Davenport, IA 52803

1230 E Rusholme St
Lowr
Davenport, IA 52803
Phone (563) 421-7160

1230 E Rusholme St
Ste LL01
Davenport, IA 52803
Phone (563) 421-7160

2829 Brady St
Davenport, IA 52803

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1912281940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "SUITE L10",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-355-9200",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST",
            "address_2": "MOB2, LOWER LEVEL, SUITE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032452",
            "telephone_number": "563-421-7160",
            "fax_number": "563-421-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD PROTECTION RESPONSE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "HARRE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "563-421-7160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "IA",
            "license": "26138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.