BREAKTHROUGH WELLNESS
NPI 1336957778
Nurse Practitioner in Davenport, IA
NPI Status: Active since December 18, 2024
Contact Information
1225 E RIVER DR STE 340
DAVENPORT, IA
ZIP 52803
Phone: (563) 424-0136
Fax: (563) 526-4116
- Organization
- Nurse Practitioner
About BREAKTHROUGH WELLNESS
This page provides the complete NPI Profile along with additional information for Breakthrough Wellness, a provider established in Davenport, Iowa operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1336957778 assigned on December 2024. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated May 2025. Breakthrough Wellness operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Nathan Douglas Mccarty Lmft (Owner)
- NPI
- 1336957778
- Provider Name
- BREAKTHROUGH WELLNESS
- Entity Type
- Organization
- Location Address
- 1225 E RIVER DR STE 340 DAVENPORT, IA 52803
- Location Phone
- (563) 424-0136
- Location Fax
- (563) 526-4116
- Mailing Address
- 1225 E RIVER DR STE 330 DAVENPORT, IA 52803
- Mailing Phone
- (563) 424-0136
- Mailing Fax
- (563) 526-4116
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2024
- Last Update Date
- 05-29-2025
- Code Navigator
A nurse practitioner (NP) like Breakthrough Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 5030 38th Ave
Moline, IL 61265
(563) 424-0136
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 9 | 5 | 7 | 7 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 18 | 5 | 14 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 8 + 5 + 1 + 4 + 7 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1336957778 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336957778, enumerated in the NPI registry as an "organization" on December 18, 2024
The provider is located at 1225 E River Dr Ste 340 Davenport, Ia 52803 and the phone number is (563) 424-0136
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
This NPI record was last updated on December 18, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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