Basic Information
| Provider Information | |||||||||
| NPI: | 1811145691 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TURPIN | ||||||||
| FirstName: | KATHARINE | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 E COURT AVE | ||||||||
| Address2: | STE 305 | ||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503092057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152373974 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6500 UNIVERSITY AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503241607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152791959 | ||||||||
| FaxNumber: | 5152890888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2008 | ||||||||
| LastUpdateDate: | 03/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 209.007211 | IL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LA2200X | H-140058 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
ID Information
| ID | Type | State | Issuer | Description | 64070153 | 01 | IA | AMERIHEALTH CARITAS | OTHER | BCBS | 01 | IA | 1457304446 | OTHER | 1811145691 | 05 | IA | MEDICAID | 1457304446 | 05 | IA | MEDICAID | AMERIGROUP | 01 | IA | 3134311 | OTHER |