UNDERWOOD FAMILY PRACTICE
NPI 1396768503
Nurse Practitioner - Family in Underwood, IA
NPI Status: Active since July 26, 2006
Contact Information
401 HIGHWAY ST
UNDERWOOD, IA
ZIP 51576
Phone: (712) 566-9148
Fax: (712) 566-9408
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 16D1055123
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-08-2026
About UNDERWOOD FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Underwood Family Practice, a provider established in Underwood, Iowa operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1396768503 assigned on July 2006. The practitioner's primary taxonomy code is 363LF0000X with license number A-082459 (IA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Rick Ogg (Administrator)
- NPI
- 1396768503
- Provider Name
- UNDERWOOD FAMILY PRACTICE
- Entity Type
- Organization
- Location Address
- 401 HIGHWAY ST UNDERWOOD, IA 51576
- Location Phone
- (712) 566-9148
- Location Fax
- (712) 566-9408
- Mailing Address
- PO BOX 218 UNDERWOOD, IA 51576
- Mailing Phone
- (712) 566-9148
- Mailing Fax
- (712) 566-9408
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-26-2006
- Last Update Date
- 06-18-2008
- Code Navigator
A nurse practitioner (NP) like Underwood Family Practice 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
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 Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- A-082459
- License State
- IA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S61518 | MEDICARE UPIN (02) | IA | |
| 082459 | MEDICARE ID-TYPE UNSPECIFIED (04) | IA | MEDICARE NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D1055123
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 09, 2024
- Certificate Expiration Date
- June 08, 2026
- Laboratory Director
- JACQUELINE R. SULLIVAN-OGG, ARNP
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Underwood Family Practice in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 9 | 6 | 7 | 6 | 8 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 6 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 6 + 1 + 6 + 5 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1396768503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932153632 | MRS. JACQUELINE RUTH SULLIVAN-OGG ARNP-BC Individual | Nurse Practitioner (Family) | 401 HIGHWAY ST UNDERWOOD, IA 51576 (712) 566-9148 |
| 1902935554 | UNDERWOOD FAMILY PRACTICE Organization | Nurse Practitioner (Family) | 401 HIGHWAY ST UNDERWOOD, IA 51576 (712) 566-9148 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396768503, enumerated in the NPI registry as an "organization" on July 26, 2006
The provider is located at 401 Highway St Underwood, Ia 51576 and the phone number is (712) 566-9148
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 16D1055123 for a "practitioner other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 26, 2006. 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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