Individual provider Active NPI

Christine Kay Vitzthum

  • Family Nurse Practitioner
  • Humboldt, IA
National Provider Identifier
1952682395
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
119875 Issued in IA
Practice address
1010 15TH St N
Humboldt, IA 50548-1008
Phone
(515) 332-2015
Fax
(515) 332-4211
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 119875 IA Primary

Addresses

Primary practice location

1010 15TH St N
Humboldt, IA 50548-1008

Mailing address

24 N 9TH St
Fort Dodge, IA 50501-3905
Phone (515) 574-6890

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
I20111011000683 IA Practitioner - Nurse Practitioner 5092987248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

1000 15TH St N C
Unitypoint Health Trinity Heart Center
Humboldt, IA 50548-1008
Phone (515) 206-7270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119875IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients

Locations

24 N 9th St
Ste A
Fort Dodge, IA 50501

800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1000 15th St N
Ste A
Humboldt, IA 50548
Phone (515) 332-2015

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

Interoperability endpoints

  • Direct secure messaging: cvitzthum140196@direct.unitypoint.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1952682395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013905",
            "telephone_number": "515-574-6890",
            "fax_number": "515-574-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 15TH ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481008",
            "telephone_number": "515-332-2015",
            "fax_number": "515-332-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITZTHUM",
        "first_name": "CHRISTINE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "119875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

Verify at the official NPI Registry.