LA CLINICA MEDICA LATINA OF DES MOINES LLC
NPI 1306965348
Nurse Practitioner in Des Moines, IA

Q: What is La Clinica Medica Latina Of Des Moines LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 29, 2007

1300 DES MOINES ST, SUITE 106, DES MOINES, IA 50309(515) 265-8200(515) 262-0045 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About La Clinica Medica Latina Of Des Moines Llc NPPES

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

LA CLINICA MEDICA LATINA OF DES MOINES LLC (NPI 1306965348) is a healthcare organization registered as a nurse practitioner in Des Moines, Iowa and active in the NPI registry since March 2007. The organization lists Ava Eagles, Clinic Operations Mgr Co Owner, as its authorized official.

NPPES Registry Identity

NPI1306965348

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameLA CLINICA MEDICA LATINA OF DES MOINES LLC

Location Address1300 DES MOINES ST, SUITE 106Des Moines, IA 50309-5502

Mailing Address2213 Grand AveDes Moines, IA 50312-5305 · (515) 237-3974 · Fax (515) 883-2692

Phone(515) 265-8200

Fax(515) 262-0045

Organization SubpartNo

Authorized OfficialAva EaglesClinic Operations Mgr Co Owner · (515) 265-8200

Enumeration DateMarch 29, 2007

Last NPPES UpdateMarch 23, 2011

✔ NPI 1306965348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · A098023

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25966 (IA)

1300 DES MOINES ST, Des Moines, IA 50309

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Other Identifiers 5

OtherDN6229IA · Railroad Medicare

Medicare UPINS78713IA

Medicaid0785956IA

Medicare PINI20066IA

Medicaid0785931IA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CHRIS K DENOUDEN, D.O., P.C.

Ophthalmology

1300 DES MOINES ST, STE 103
DES MOINES, IA 50309

Polk County (515) 266-5353

DR. CHRIS K DENOUDEN D.O.

Ophthalmology

1300 DES MOINES ST, STE 103
DES MOINES, IA 50309

Polk County (515) 266-5353

HEAVY MEDICINE INCORPORATED P C

Internal Medicine (Cardiovascular Disease)

1300 DES MOINES ST, SUITE 107
DES MOINES, IA 50309

Polk County (515) 262-8707

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 La Clinica Medica Latina Of Des Moines LLC's NPI number?

The NPI number for La Clinica Medica Latina Of Des Moines LLC is 1306965348. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is La Clinica Medica Latina Of Des Moines LLC located?

La Clinica Medica Latina Of Des Moines LLC is located at 1300 Des Moines St Suite 106, Des Moines, IA 50309. The listed phone number is (515) 265-8200.

What is La Clinica Medica Latina Of Des Moines LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for La Clinica Medica Latina Of Des Moines LLC was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.