Active NPI
Waterloo Visiting Nursing Association
- Home Health Agency
- Waterloo, IA
National Provider Identifier
1912901703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WATERLOO VISITING NURSING ASSOCIATION
- Practice address
- 2530 University Ave
Ste 3
Waterloo, IA 50701-3304 - Phone
- (319) 235-6201
- Fax
- (319) 232-7296
- NPI assigned
- Jun 9, 2005
- 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. Mary Kathryn Nicholas
- Title
- Executive Director
- Phone
- (319) 235-6201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IA | Primary |
Addresses
Primary practice location
2530 University Ave
Ste 3
Waterloo, IA 50701-3304
Mailing address
2530 University Ave
Ste 3
Waterloo, IA 50701-3304
Phone (319) 235-6201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0670034 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
2530 University Ave
Ste 3
Waterloo, IA 50701
Phone (319) 235-6201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1912901703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 UNIVERSITY AVE",
"address_2": "STE 3",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013304",
"telephone_number": "319-235-6201",
"fax_number": "319-232-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 UNIVERSITY AVE",
"address_2": "STE 3",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013304",
"telephone_number": "319-235-6201",
"fax_number": "319-232-7296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERLOO VISITING NURSING ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NICHOLAS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KATHRYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "319-235-6201",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0670034",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.