OrganizationActive
State University of Iowa
NPI 1225177579 · Pediatric Registered Nurse · Council Bluffs, IA
Provider details
- NPI number
- 1225177579
- Entity type
- Organization
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Philip Roudabush, Director, Patient Financial Service(319) 384-2334
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3501 Harry Langdon Blvd Ste 1450
Child Health Specialty Clinics
Council Bluffs, IA 51503-7837
Phone: (712) 309-0041
Fax: (712) 309-0044
Approximate (ZIP-level) locationGet directions
Mailing address
100 Hawkins Drive
Iowa City, IA 52242
Other names (DBA / former)
- Other name
- Chsc Ped Screening Center
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.