Active NPI
Emma Jean Irving
- Behavior Technician
- Fort Dodge, IA
National Provider Identifier
1922783232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 142 N 9TH St
Fort Dodge, IA 50501-3911 - Phone
- (515) 293-5620
- NPI assigned
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
142 N 9TH St
Fort Dodge, IA 50501-3911
Mailing address
109 E Center Ave
Badger, IA 50516-7520
Phone (515) 574-9344
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emmai@axisaba.com |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KP Enterprises Iowa | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Ankeny, IA
- NPI 1518478684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1922783232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E CENTER AVE",
"city": "BADGER",
"state": "IA",
"postal_code": "505167520",
"telephone_number": "515-574-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 N 9TH ST",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505013911",
"telephone_number": "515-293-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "EMMA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emmai@axisaba.com",
"affiliation": "N",
"address_1": "142 N 9th St",
"city": "Fort Dodge",
"state": "IA",
"country_code": "US",
"postal_code": "505013911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Dodge, IA
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Specialty Hospital - Clarion
- Richard Y Jacobson, O.D.
- James D Wolff MD PC
- James H. Knight, DDS, PC
- Victor Jaramillo Jr., MD
- Jeffrey S Foreman OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.