THE VILLAGE CLINIC, LLC
NPI 1508695032
Nurse Practitioner - Primary Care in Davenport, IA

Active since August 01, 2024
2107 E 12TH ST, DAVENPORT, IA 52803(563) 362-3312(563) 204-1179 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Aug 1, 2024 (2 updates tracked since 2024).

About The Village Clinic, Llc NPPES

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

THE VILLAGE CLINIC, LLC (NPI 1508695032) is a healthcare organization registered as a primary care in Davenport, Iowa and active in the NPI registry since August 2024. The organization lists Amanda M Disch, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1508695032
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTHE VILLAGE CLINIC, LLC
Location Address2107 E 12TH STDavenport, IA 52803-3706
Mailing Address2107 E 12th StDavenport, IA 52803-3706 · (563) 286-0743 · Fax (563) 204-1179
Fax(563) 204-1179
Organization SubpartNo
Authorized OfficialAmanda M DischOwner/nurse Practitioner · (563) 499-0437
Enumeration DateAugust 1, 2024
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1508695032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2107 E 12TH ST, Davenport, IA 52803

Other Names 2

Other NameAmanda Disch, Arnp
Other NameThe Village Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Family Medicine
2107 E 12TH ST
DAVENPORT, IA 52803
Nurse Practitioner (Family)
2107 E 12TH ST
DAVENPORT, IA 52803
Nurse Practitioner (Family)
2107 E 12TH ST
DAVENPORT, IA 52803

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 The Village Clinic, LLC's NPI number?

The NPI number for The Village Clinic, LLC is 1508695032. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is also known as Amanda Disch, ARNP and The Village Clinic.

Where is The Village Clinic, LLC located?

The Village Clinic, LLC is located at 2107 E 12th St, Davenport, IA 52803. The listed phone number is (563) 362-3312.

What is The Village Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for The Village Clinic, LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.