1811145691 NPI number — KATHARINE M. TURPIN NP-C

Table of content: KATHARINE M. TURPIN NP-C (NPI 1811145691)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811145691 NPI number — KATHARINE M. TURPIN NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURPIN
Provider First Name:
KATHARINE
Provider Middle Name:
M.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811145691
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 E COURT AVE
Provider Second Line Business Mailing Address:
STE 305
Provider Business Mailing Address City Name:
DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50309-2057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-237-3974
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6500 UNIVERSITY AVE STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50324-1607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-279-1959
Provider Business Practice Location Address Fax Number:
515-289-0888
Provider Enumeration Date:
09/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  209.007211 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: H-140058 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 64070153 . This is a "AMERIHEALTH CARITAS" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: BCBS . This is a "1457304446" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 1811145691 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1457304446 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: AMERIGROUP . This is a "3134311" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




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