Jacqueline Joy Fleming, ARNP, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C128838 Issued in IA

Practice address

5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935

Phone

(563) 424-2025

Fax

(563) 424-2042

NPI assigned

Nov 28, 2012

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790
  Medicare reassignment NPD
• Quad Cities Pediatrics, P.C.

  • Primary Care Clinic/Center
  • Davenport, IA
  • NPI 1174818447
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1962747246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15723 WOODMOOR DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022326",
            "telephone_number": "563-580-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 UTICA RIDGE RD STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072935",
            "telephone_number": "563-424-2025",
            "fax_number": "563-424-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JACQUELINE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "ARNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IA",
            "license": "128838",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IA",
            "license": "128838",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C128838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Fjelstul-Bonert, MD
• Anabel Lee Flaherty, ARNP
• Tanner Flaherty, DMD
• Roseanne Irene Flamm, LISW
• Michael Fleener, D.D.S.
• Ashley Flores, LPC
• Lyndon Scott Fluegel
• Stacey L Flynn, ARNP
• Focused Eyecare PLLC
• Alison Foley

• Pediatric Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.