Individual provider Active NPI

Nicola Jane Stickney, DNP, ARNP

  • Adult Health Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1942445937
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
H080923 Issued in IA
Practice address
101 College of Nursing BLDG
Newton Road
Iowa City, IA 52242-1117
Phone
(319) 248-1267
Fax
(319) 384-0080
NPI assigned
Dec 5, 2008
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X H080923 IA Primary

Addresses

Primary practice location

101 College of Nursing BLDG
Newton Road
Iowa City, IA 52242-1117

Mailing address

101 College of Nursing BLDG
50 Newton Road
Iowa City, IA 52242-1117
Phone (319) 467-1256

Other identifiers 1

IdentifierTypeStateIssuer
1942445937MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000217 IA Practitioner - Nurse Practitioner 3476610585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H080923IAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Adult Health CurrentSince Jan 1, 2009 Accepting new patients
State University of Iowa CurrentSince Jan 1, 2009 Accepting new patients

Locations

101 College of Nursing Bldg
Iowa City, IA 52242
Phone (319) 248-1267

101 College of Nursing Bldg
#50
Iowa City, IA 52242
Phone (319) 248-1267

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

Interoperability endpoints

  • Direct secure messaging: nstickney18757@uihcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1942445937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLLEGE OF NURSING BLDG",
            "address_2": "50 NEWTON ROAD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421117",
            "telephone_number": "319-467-1256",
            "fax_number": "319-384-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLLEGE OF NURSING BLDG",
            "address_2": "NEWTON ROAD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421117",
            "telephone_number": "319-248-1267",
            "fax_number": "319-384-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKNEY",
        "first_name": "NICOLA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H080923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942445937",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.