Organization Active NPI

Resilient Roots

  • Psychiatric/Mental Health Nurse Practitioner
  • Clive, IA
National Provider Identifier
1972469146
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jan 2, 2026

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.