BLANK CHILDRENS HOSPITAL
NPI 1063758605
Nurse Practitioner - Pediatrics in Pleasant Hill, IA
NPI Status: Active since January 01, 2013
Contact Information
6540 NE 12TH AVE
PLEASANT HILL, IA
ZIP 50327
Phone: (515) 266-6795
- Organization
- Nurse Practitioner
- Pediatrics
- CLIA Number: 16D0860813
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About BLANK CHILDRENS HOSPITAL
This page provides the complete NPI Profile along with additional information for Blank Childrens Hospital, a provider established in Pleasant Hill, Iowa operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1063758605 assigned on January 2013. The practitioner's primary taxonomy code is 363LP0200X with license number C-119097 (IA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ken Cheyne (Physician)
- NPI
- 1063758605
- Provider Name
- BLANK CHILDRENS HOSPITAL
- Entity Type
- Organization
- Location Address
- 6540 NE 12TH AVE PLEASANT HILL, IA 50327
- Location Phone
- (515) 266-6795
- Mailing Address
- 1200 PLEASANT ST DES MOINES, IA 50309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-01-2013
- Last Update Date
- 01-01-2013
- Code Navigator
A nurse practitioner (NP) like Blank Childrens Hospital 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.
Location Map
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 Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- C-119097
- License State
- IA
Group Taxonomy 193400000X MULTIPLE 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D0860813
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- ERIC HAUGEN, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Blank Childrens Hospital in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063758605, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063758605, enumerated as an "organization" on January 01, 2013.
The provider is located at 6540 NE 12TH AVE PLEASANT HILL, IA 50327 and the phone number is (515) 266-6795.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
