Active NPI
Resilient Roots
- Psychiatric/Mental Health Nurse Practitioner
- Clive, IA
National Provider Identifier
1972469146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RESILIENT ROOTS
- Practice address
- 13137 University Ave Ste 140
Clive, IA 50325-8299 - Phone
- (515) 317-8752
- Fax
- (515) 717-1040
- NPI assigned
- Dec 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Roys
- Title
- Credentialing Coordinator
- Phone
- (515) 230-3308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
13137 University Ave Ste 140
Clive, IA 50325-8299
Mailing address
1650 280TH St
Madrid, IA 50156-7530
Phone (515) 230-3308
Other names 1
- JENNIFER MATZKE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767312000000",
"number": "1972469146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 280TH ST",
"city": "MADRID",
"state": "IA",
"postal_code": "501567530",
"telephone_number": "515-230-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13137 UNIVERSITY AVE STE 140",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258299",
"telephone_number": "515-317-8752",
"fax_number": "515-717-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT ROOTS",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-31",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A",
"authorized_official_last_name": "ROYS",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "515-230-3308"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JENNIFER MATZKE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.