1588624837 NPI number — SHEILA KAYE WRIGHT RD, LD, CDE, CNSD

Table of content: SHEILA KAYE WRIGHT RD, LD, CDE, CNSD (NPI 1588624837)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588624837 NPI number — SHEILA KAYE WRIGHT RD, LD, CDE, CNSD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
SHEILA
Provider Middle Name:
KAYE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RD, LD, CDE, CNSD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CURTIS
Provider Other First Name:
SHEILA
Provider Other Middle Name:
KAYE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RD,LD,CDE,CNSD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588624837
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 E MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IOWA CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52245-2633
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-339-3945
Provider Business Mailing Address Fax Number:
319-339-3785

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 E MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52245-2633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-339-3945
Provider Business Practice Location Address Fax Number:
319-339-3785
Provider Enumeration Date:
03/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  00541 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)