Organization Active NPI

Waterloo Visiting Nursing Association

  • Home Health Agency
  • Waterloo, IA
National Provider Identifier
1912901703
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0670034MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.