HEARTLAND HEALTHCARE PSYCHIATRY, LLC (NPI# 1174139950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174139950 |
| Entity Type | Organization |
| Organization Name | HEARTLAND HEALTHCARE PSYCHIATRY, LLC |
| Practice Address |
455 N Orthmckenzie Lane North Liberty IA 52317-8901 |
| Practice Telephone | 3194712479 |
| Practice Fax Number | 8777564974 |
| Mailing Telephone | 3194712479 |
| Mailing Fax Number | 8777564974 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | DR. ROBERT WILLIAM DETLEFSEN (DR. ROBERT DETLEFSEN, DNP) |
| Authorized Official Telephone | 3194712479 |
| Authorized Official Credential | DNP, FPMH-NP, B. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HEARTLAND HEALTHCARE PSYCHIATRY, LLC | 455 North Mckenzie Lan, North Liberty, IA 52317 |
| Street Address |
455 N ORTHMCKENZIE LANE |
| City | NORTH LIBERTY |
| State | IA |
| Zip Code | 52317-8901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625478 | Loving House of Hearts | In Home Supportive Care | 1129 Winchester Lane, North Liberty, IA 52317 | 2019-12-02 |
| 1508428673 | Sensory Kids Iowa | Speech-Language Pathologist | 754 Community Drive, Unit H, North Liberty, IA 52317 | 2019-06-28 |
| 1720443948 | Sarah Gallagher | Social Worker | 320 W Cherry St, North Liberty, IA 52317 | 2015-12-15 |
| 1902279797 | Emily Sara Logan | Social Worker | 1785 Curtis Bridge Road Ne, Okerberg and Associates, North Liberty, IA 52317 | 2015-11-03 |
| 1033515408 | Ashley Sconzo | Contractor | 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 | 2014-11-13 |
| 1679900146 | Brianna June Clarahan | Physical Therapist | 1565 Cedar Springs Drive, North Liberty, IA 52317 | 2013-09-30 |
| 1649521121 | Ben Cooper Jorgensen | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317 | 2012-09-25 |
| 1164629937 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Lane, North Liberty, IA 52317 | 2007-06-27 |
| 1023141330 | Meadowlark Partners LLC | Clinical Neuropsychologist | 320 W. Cherry St, North Liberty, IA 52317 | 2007-03-14 |
| 1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
| Find all providers in zip 52317 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134206873 | Robert W Detlefsen | Nurse Practitioner | 455 N Mckenzie Ln, North Liberty, IA 52317-8901 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| 1326526641 | Transcend Mind-body Wellness & Floatation Clinic LLC | Nurse Practitioner | 409 Washington St Ste D, Cedar Falls, IA 50613 | 2018-07-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LIBERTY |
| Zip Code | 52317 |
Please comment or provide details below to improve the information on HEARTLAND HEALTHCARE PSYCHIATRY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.