MR. CLINT P ROYSTON (NPI# 1245319250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245319250 |
| Entity Type | Individual |
| Full Name | MR. CLINT P ROYSTON |
| Credential | M.S., M.S.N. |
| Practice Address |
6200 Aurora Ave Ste 401e Urbandale IA 50322-2800 |
| Practice Telephone | 5153310303 |
| Practice Fax Number | 5153319086 |
| Mailing Telephone | 5153310303 |
| Mailing Fax Number | 5153319086 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G-116306 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 10658701 | 05 |
| Street Address |
6200 AURORA AVE STE 401E |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255706768 | Rebecca Papian | Social Worker | 6200 Aurora Ave, Suite 307e, Urbandale, IA 50322-2800 | 2015-12-09 |
| 1649674748 | Stephanie Frey | Counselor | 6200 Aurora Ave, Suite 307e, Urbandale, IA 50322-2800 | 2014-10-17 |
| 1871896530 | Barbara J Graham | Social Worker | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2010-12-17 |
| 1750698692 | Zayba Jabeen Hoda | Physician Assistant | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2010-09-13 |
| 1194953844 | Kimberley P Bauman | Family Medicine | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2009-07-01 |
| 1053469114 | Urbandale C.s.d. | Local Education Agency (LEA) | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2007-01-08 |
| 1699786962 | Tiffany Ketcham | Family Medicine | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2006-08-11 |
| 1699786996 | Martin Mortens | Family Medicine | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2006-08-11 |
| 1992716203 | Ron J Pick | Family Medicine | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2006-08-11 |
| 1730190059 | Kathleen Fitzgerald | Nurse Practitioner | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| 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 |
|---|---|---|---|---|
| 1124629712 | Alesha Nicole Luckett | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2020-11-02 |
| 1922616796 | Jessica Lynn Brower | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2020-07-17 |
| 1851923205 | Beth Frettim | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2020-02-04 |
| 1740649037 | Amy Larson | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2016-02-16 |
| 1528485471 | Christina M Gonzalez | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 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 |
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| 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.