IDEAL HEALTH AND WELLNESS, SC, CORP
NPI 1689013393
Family Medicine in Davenport, IA

Active since June 17, 2013CLIA 16D2276181 · Waiver
1850 E 53RD ST STE 2, DAVENPORT, IA 52807(563) 359-4106(563) 359-4130 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 30, 2020, May 10, 2019 and 4 more (7 updates tracked since 2017).

About Ideal Health And Wellness, Sc, Corp NPPES

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

IDEAL HEALTH AND WELLNESS, SC, CORP (NPI 1689013393) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through February 2, 2027, maintains a secondary practice location in Moline, and lists Kathryn Frega, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1689013393
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIDEAL HEALTH AND WELLNESS, SC
Location Address1850 E 53RD ST STE 2Davenport, IA 52807-2784
Mailing Address1850 E 53rd St Ste 2Davenport, IA 52807-2784 · (563) 359-4106 · Fax (563) 359-4130
Fax(563) 359-4130
Organization SubpartNo
Authorized OfficialKathryn FregaOwner/doctor · (563) 359-4106
Enumeration DateJune 17, 2013
Last NPPES UpdateJuly 21, 20227 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
NPI 1689013393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedChiropractorTaxonomy 111N00000X · License 083863 (IA)
Also ListedChiropractor · InternistTaxonomy 111NI0900X · License 038012020 (IL)
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedNaturopathTaxonomy 175F00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1850 E 53RD ST STE 2, Davenport, IA 52807

Other Names 1

Doing Business AsIdeal Health And Wellness, Sc, Corp

Secondary Practice Location 1

Location 13900 28th Avenue Dr, Suite 125Moline, IL 61265-5536 · Phone (309) 281-6230

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2276181

Ideal Health And Wellness · Davenport, IA
Active · expires Feb 2, 2027
CLIA Number16D2276181
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorKathryn Frega
Laboratory Phone(563) 359-4106
Laboratory LocationIdeal Health And Wellness1850 E 53rd St Suite 2, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Psychiatric/Mental Health)
1850 E 53RD ST STE 2
DAVENPORT, IA 52807
Massage Therapist
1850 E 53RD ST STE 2
DAVENPORT, IA 52807
Nurse Practitioner (Family)
1850 E 53RD ST STE 2
DAVENPORT, IA 52807
Nurse Practitioner
1850 E 53RD ST STE 2
DAVENPORT, IA 52807
Chiropractor
1850 E 53RD ST STE 2
DAVENPORT, IA 52807
Nurse Practitioner (Family)
1850 E 53RD ST STE 2
DAVENPORT, IA 52807

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 Ideal Health And Wellness, Sc's NPI number?

The NPI number for Ideal Health And Wellness, Sc is 1689013393. It was assigned to this organization in the NPPES registry on June 17, 2013. The provider is doing business as Ideal Health And Wellness, Sc, Corp.

Where is Ideal Health And Wellness, Sc located?

Ideal Health And Wellness, Sc is located at 1850 E 53rd St Ste 2, Davenport, IA 52807. The listed phone number is (563) 359-4106.

What is Ideal Health And Wellness, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ideal Health And Wellness, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2276181) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ideal Health And Wellness, Sc accept?

Health plans from Medica list Ideal Health And Wellness, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ideal Health And Wellness, Sc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.