Active NPI
Judith A Coltharp, FNP
- Family Nurse Practitioner
- Pittsburg, KS
National Provider Identifier
1003858960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-45255-101
- Practice address
- 1 Mt Carmel Way
Pittsburg, KS 66762 - Phone
- (620) 231-6100
- Fax
- (620) 235-7913
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 45255 | KS | |
| Family Nurse Practitioner | 363LF0000X | 53-45255-101 | KS | Primary |
Addresses
Primary practice location
1 Mt Carmel Way
Pittsburg, KS 66762
Mailing address
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45255 | KS | MD | Family Nurse Practitioner |
| 53-45255-101 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sjmgroup | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1003858960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MT CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-231-6100",
"fax_number": "620-235-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MT CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-231-6100",
"fax_number": "620-235-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTHARP",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "45255",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-45255-101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
- Sally Cathleen Clay, LPC
- Marvin Glen Clothier, D.D.S.
- Kerri L Coble, RPH
- Melissa Coester, PTA
- Vernetta Collins, AAPS COUNSELOR
- Kent A Coltharp, DO
- Comfortcare Homes of Pittsburg LLC
- Community Health Center of Southeast Kanas, Inc.
- Community Health Center of Southeast Kanas, Inc.
- Community Health Center of Southeast Kanas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.