NPI 1932084407 · live from the CMS NPI Registry
2 Laines
Peer Specialist in Davenport, IA. National Provider Identifier 1932084407, active.
NPI record
| NPI | 1932084407 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Peer Specialist 175T00000X |
| Practice location | 326 W 3rd St Unit 903, Davenport, IA 52801 |
| Practice phone | 563-676-9396 |
| Enumerated | August 6, 2025 |
| Last updated | August 6, 2025 |
| Authorized official | Warnice Edwards, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Supports Brokerage | 251X00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Transportation Broker | 347E00000X | — |
| Home Health Aide | 374U00000X | — |
| Peer Specialist primary | 175T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.