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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.

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: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Infusion Therapy

About IOWA KETAMINE INFUSION, LLC

This page provides the complete NPI Profile along with additional information for Iowa Ketamine Infusion, Llc, a provider established in West Des Moines, Iowa operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1033954508 assigned on June 2024. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mindy Gingery Pmhnp, Arnp, Crna (Ceo)

NPI: 1033954508 Verify this NPI
Provider Name: IOWA KETAMINE INFUSION, LLC
Entity Type: Organization
Location Address: 1701 48TH ST STE 260 WEST DES MOINES, IA 50266
Location Phone: (515) 401-4774
Location Fax: (515) 254-3092
Mailing Address: 1701 48TH ST STE 260 WEST DES MOINES, IA 50266
Mailing Phone: (515) 401-4774
Mailing Fax: (515) 254-3092
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-27-2024
Last Update Date: 10-05-2025
Code Navigator

Location Map

Secondary Locations

1960 SW Magazine Rd
Ankeny, IA 50023
(515) 401-4774

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: Clinic/Center Infusion Therapy
Taxonomy Code: 261QI0500X
Type: Ambulatory Health Care Facilities

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: MINDY GINGERY PMHNP, ARNP, CRNA
Authorized Official Title: CEO
Authorized Official Phone: (515) 988-1564