MR. TOM MOTARI MOGONDO MSN ARNP-PMHNP-BC NPI 1407338031

NPI Information

NPI: 1407338031
Provider Name: MR. TOM MOTARI MOGONDO, MSN, ARNP-PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
100 E EUCLID AVE
STE 157
DES MOINES, IA
ZIP 50313
Phone: (515) 585-0008
Get Directions

MR. Tom Motari Mogondo, MSN, ARNP-PMHNP-BC is a psychiatric/mental health nurse practitioner in Des Moines, IA with 6 years of experience. MR. Tom Motari Mogondo, MSN, ARNP-PMHNP-BC NPI is 1407338031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 E EUCLID AVE
STE 157
DES MOINES, IA
ZIP 50313-583
Phone: (515) 585-0008
Fax: (307) 215-1187

The NPI 1407338031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 11/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	42009.1847	WYOMING	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	G155679	IOWA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	78352	KANSAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »