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IOWA KETAMINE INFUSION, LLC
NPI 1033954508
Clinic/Center - Infusion Therapy in West Des Moines, IA

Active since June 27, 2024
1701 48TH ST STE 260, WEST DES MOINES, IA 50266(515) 401-4774(515) 254-3092 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Iowa Ketamine Infusion, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IOWA KETAMINE INFUSION, LLC (NPI 1033954508) is a healthcare organization registered as an infusion therapy in West Des Moines, Iowa and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Ankeny and lists Mindy Gingery, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033954508
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameIOWA KETAMINE INFUSION, LLC
Location Address1701 48TH ST STE 260West Des Moines, IA 50266-6726
Mailing Address1701 48th St Ste 260West Des Moines, IA 50266-6726 · (515) 401-4774 · Fax (515) 254-3092
Phone(515) 401-4774
Fax(515) 254-3092
Organization SubpartNo
Authorized OfficialMindy GingeryCeo · (515) 988-1564
Enumeration DateJune 27, 2024
Last NPPES UpdateOctober 5, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1033954508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
1701 48TH ST STE 260, West Des Moines, IA 50266
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Secondary Practice Location 1

Location 11960 SW Magazine RdAnkeny, IA 50023-2978 · Phone (515) 401-4774 · Fax (515) 254-3092

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY SLY DNP, ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 348-6380
COURTNEY MITTEN DNP, ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 401-4774
ALYSSA COUGHENNOWER ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 348-6380
MELISSA RADEMACHER CRNA
Nurse Anesthetist, Certified Registered
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 401-4774
RACHEL ROTH WILLIAMS ARNP, FNP-C
Nurse Practitioner (Family)
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 401-4774
IKC, LLC
Clinic/Center
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 401-4774
NICHOLAS DEAN JENSEN
Physician Assistant
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 348-6380
IOWA BEHAVIORAL ASSOCIATES, LLC
Clinic/Center (Adult Mental Health)
1701 48TH ST STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 401-4774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iowa Ketamine Infusion, LLC's NPI number?

The NPI number for Iowa Ketamine Infusion, LLC is 1033954508. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is Iowa Ketamine Infusion, LLC located?

Iowa Ketamine Infusion, LLC is located at 1701 48th St Ste 260, West Des Moines, IA 50266. The listed phone number is (515) 401-4774.

What is Iowa Ketamine Infusion, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Iowa Ketamine Infusion, LLC was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.