THE VILLAGE CLINIC, LLC
NPI 1508695032
Nurse Practitioner - Primary Care in Davenport, IA

NPI Status: Active since August 01, 2024

Contact Information

2107 E 12TH ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 362-3312
Fax: (563) 204-1179

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  • Organization
  • Nurse Practitioner
  • Primary Care

About THE VILLAGE CLINIC, LLC

This page provides the complete NPI Profile along with additional information for The Village Clinic, Llc, a provider established in Davenport, Iowa operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1508695032 assigned on August 2024. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated February 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Amanda M Disch Np (Owner/nurse Practitioner)

NPI
1508695032
Provider Legal Name
THE VILLAGE CLINIC, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2107 E 12TH ST DAVENPORT, IA 52803
Location Phone
(563) 362-3312
Location Fax
(563) 204-1179
Mailing Address
2107 E 12TH ST DAVENPORT, IA 52803
Mailing Phone
(563) 286-0743
Mailing Fax
(563) 204-1179
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2024
Last Update Date
02-25-2025
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A nurse practitioner (NP) like The Village Clinic, Llc 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.

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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 Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMANDA M DISCH NP

Authorized Official Title
OWNER/NURSE PRACTITIONER
Authorized Official Phone
(563) 499-0437

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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.
1508695032
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081291006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 2 + 9 + 1 + 0 + 0 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1508695032 is valid because the calculated check digit 2 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
1568886992 BEVERLY A BENMOUSSA NP
Individual
Nurse Practitioner (Family)2107 E 12TH ST
DAVENPORT, IA 52803
(563) 362-3312
1669902755THE WEEKEND CLINIC PLC
Organization
Nurse Practitioner (Family)2107 E 12TH ST
DAVENPORT, IA 52803
(563) 362-3312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508695032, enumerated in the NPI registry as an "organization" on August 01, 2024

The provider is located at 2107 E 12th St Davenport, Ia 52803 and the phone number is (563) 362-3312

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on August 01, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.