Healthcare Provider Details

I. General information

NPI: 1457973034
Provider Name (Legal Business Name): MELANIE KIM GRAMLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 OFFICE PARK RD STE 221
WEST DES MOINES IA
50265-2548
US

IV. Provider business mailing address

6701 CORPORATE DR STE 4427
JOHNSTON IA
50131-1659
US

V. Phone/Fax

Practice location:
  • Phone: 515-654-6422
  • Fax: 515-738-5906
Mailing address:
  • Phone: 515-654-6422
  • Fax: 515-738-4906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11007108
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG176802
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: