MR. TOM MOTARI MOGONDO


Address: 100 E Euclid Ave, Ste 157, Des Moines, IA 50313-4583
Phone: 5155850008

MR. TOM MOTARI MOGONDO (NPI# 1407338031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407338031
Entity Type Individual
Full Name MR. TOM MOTARI MOGONDO
Credential MSN, ARNP-PMHNP-BC
Practice Address 100 E Euclid Ave
Ste 157
Des Moines
IA 50313-4583
Mailing Address 14412 W 65th Ter
Shawnee
KS 66216-2123
Practice Telephone 5155850008
Practice Fax Number 3072151187
Mailing Telephone 9137102373
Enumeration Date 2018-08-30
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
G155679 IA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
42009.1847 WY Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
78352 KS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
14412 W 65th Ter, Shawnee, KS 662162123 9137102373
2521 E 15th St, Casper, WY 82609 3072377444
777 Overland Trl Ste 105, Casper, WY 826011319 3073331123

Office Location

Street Address 100 E EUCLID AVE
STE 157
City DES MOINES
State IA
Zip Code 50313-4583

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NPI Name Taxonomy Address Enumeration
1750398913 Cynthia A Davis Counselor 100 E Euclid Ave, Suite 143, Des Moines, IA 50313-4511 2006-08-01
1295296127 Psychiatry Associates of Wyoming Clinical Nurse Specialist 100 E Euclid Ave, Des Moines, IA 50313-4511 2019-03-25
1740712678 A1 Recovery & Treatment LLC Community/Behavioral Health 100 E Euclid Ave, Suite 157, Des Moines, IA 50313-4511 2017-03-30
1396119350 Stephanie Goods Counselor 100 E Euclid Ave, Suite 157, Des Moines, IA 50313-4511 2015-11-13
1548688096 Olympic Home Health Care Home Health 100 E Euclid Ave, Suite 121, Des Moines, IA 50313-4511 2014-04-02
1609172725 Tracy Lynn Swartzlander Social Worker 100 E Euclid Ave, Suite 143, Des Moines, IA 50313-4511 2011-02-07
1205167616 Sammie L Nobles Counselor 100 E Euclid Ave, Suite 143, Des Moines, IA 50313-4511 2010-01-25
1225263874 Ann Michele Emerson-battien Counselor 100 E Euclid Ave, Suite 143, Des Moines, IA 50313-4511 2009-05-27
1952563603 Joshua Joseph Lundahl Social Worker 100 E Euclid Ave, Suite 151, Des Moines, IA 50313-4511 2008-06-25
1417115718 Lifeworks Inc Social Worker 100 E Euclid Ave, Suite 151, Des Moines, IA 50313-4511 2008-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790282572 Michelle Lynn Cross Counselor Bridges of Iowa, 1985 Ne 51st Pl, Des Moines, Ia 50313, Des Moines, IA 50313 2018-04-09
1255868360 On With Life, Inc Community/Behavioral Health 692 Nw 43rd Ave, Des Moines, IA 50313 2017-05-19
1518304880 Ronda Leann Hood Counselor 3710 6th Avenue, Suite A and C, Des Moines, IA 50313 2013-05-28
1639491533 Agapito Pete Aguilar Counselor 800 Douglas Ave, Des Moines, IA 50313 2010-02-18
1255500385 Ryan Edward Mcclure Social Worker 100 E Euclid, Suite 151, Des Moines, IA 50313 2008-02-22
1093802480 Donald Wayne Copley Dentist 609 E Euclid, Des Moines, IA 50313 2006-10-06
1932294394 Floyd Dow Bates Jr. Chiropractor 621 Euclid Avenue, Des Moines, IA 50313 2006-10-03
1073987178 Caremore Medical Associates, PC Family Medicine 1530 E Euclid Ave, Des Moines, IA 50313 2015-11-30
1083942890 All Nations Home Health Care Iowa LLC Home Health 100 E Euclid, Ste E, Des Moines, IA 50313 2009-12-07
1871688242 Lisa Rae Bates Chiropractor 621 Euclid Avenue, Des Moines, IA 50313 2006-10-03
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417403916 Alpha Allied Mental Health Services Nurse Practitioner 699 Walnut St Ste 400, Des Moines, IA 50309-3962 2016-08-25
1356894125 Melissa Pearson Nurse Practitioner 1826 S 250th Pl, Des Moines, WA 98198 2016-07-28
1710389846 Lakew Adnew Nurse Practitioner 22634 10th Ave S, Des Moines, WA 98198-6915 2014-09-19
1316356496 Kimberly N Roberts Nurse Practitioner 700 E University Ave # 3w, Des Moines, IA 50316-2302 2014-08-04
1134231459 Grace V Hatcher Nurse Practitioner 520 42nd St, Suite A, Des Moines, IA 50312-2757 2006-08-31
1275147910 Amazon Psychiatry Nurse Practitioner 699 Walnut St Ste 400, Des Moines, IA 50309-3962 2020-09-01
1811500747 Nadia Hashemi-toroghi Nurse Practitioner 1801 Hickman Rd, Des Moines, IA 50314-1548 2020-08-29
1780293688 Kailey Ann Ingram Nurse Practitioner 3600 30th St, Des Moines, IA 50310-5753 2020-07-27
1801435326 Erin Leigh Federspiel Nurse Practitioner 3600 30th St, Des Moines, IA 50310-5753 2020-01-01
1477199198 Sajo Joseph Thomas Nurse Practitioner 945 19th St, Des Moines, IA 50314-1117 2019-11-18
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Competitor

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City DES MOINES
Zip Code 50313

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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