HAILEY LYNN ROOZEBOOM PA-C NPI 1598409021

NPI Information

NPI: 1598409021
Provider Name: HAILEY LYNN ROOZEBOOM, PA-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
223 S WALNUT AVE
AMES, IA
ZIP 50010
Phone: (515) 368-7504
Get Directions

Hailey Lynn Roozeboom, PA-C is a psychiatric/mental health nurse practitioner in Ames, IA with 1 years of experience. Hailey Lynn Roozeboom, PA-C NPI is 1598409021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2023

The provider's business location address is:

223 S WALNUT AVE
AMES, IA
ZIP 50010-974
Phone: (515) 368-7504

The NPI 1598409021 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 4/21/2022 and was last updated on 2/20/2024.

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	121657	IOWA	Yes
2	363AM0700X	Physician Assistant	Medical	1202593	IOWA	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: 4/28/2024

NPI Synchronization or Removal

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