Individual provider Active NPI

Kristin Deann Perez, CNM

  • Advanced Practice Midwife
  • Topeka, KS
National Provider Identifier
1013267319
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
53-75745 Issued in KS
Practice address
830 SW Lane St
Topeka, KS 66606-2487
Phone
(785) 354-5952
Fax
(785) 354-5984
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 53-75745 KS Primary

Addresses

Primary practice location

830 SW Lane St
Topeka, KS 66606-2487

Mailing address

830 SW Lane St
Topeka, KS 66606-2487
Phone (785) 354-5952

Other practice location 1

1110 Saint Marys Rd
Junction City, KS 66441-4176
Phone (785) 762-2585

Other practice location 2

1500 SW 10th Street
Topeka, KS 66604
Phone (785) 354-5952

Other practice location 3

2830 SW Urish Rd
Topeka, KS 66614-5614
Phone (785) 233-5101

Other practice location 4

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Other practice location 5

800 SW Lincoln St
Topeka, KS 66606-1515
Phone (785) 233-5101

Other identifiers 2

IdentifierTypeStateIssuer
068002197OtherKSMEDICARE PTAN
200971830AMedicaidKS

Other names 1

  • Kristin Deann Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130201000292 KS Practitioner - Certified Nurse Midwife (CNM) 3971757766 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
53-75745KSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Stormont Vail Health Flint Hills LLC CurrentSince Jul 1, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 16, 2012 Accepting new patients
Stormont Vail Health Flint Hills LLC Current Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Jul 1, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 16, 2012 Accepting new patients

Locations

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

800 SW Lincoln St
Topeka, KS 66606
Phone (785) 231-0603

901 SW Garfield Ave
Topeka, KS 66606

830 SW Lane St
Topeka, KS 66606
Phone (785) 354-5952

2830 SW Urish Rd
Topeka, KS 66614
Phone (785) 233-5101

Interoperability endpoints

  • Direct secure messaging: kperez6862@stormontvaildirect.org
  • Direct secure messaging: kperez1090590@ahs.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1013267319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SW LANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062487",
            "telephone_number": "785-354-5952",
            "fax_number": "785-354-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SW LANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062487",
            "telephone_number": "785-354-5952",
            "fax_number": "785-354-5984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414176",
            "country_code": "US",
            "telephone_number": "785-762-2585",
            "fax_number": "785-223-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Street",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "66604",
            "country_code": "US",
            "telephone_number": "785-354-5952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 SW Urish Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145614",
            "country_code": "US",
            "telephone_number": "785-233-5101",
            "fax_number": "785-273-8530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "fax_number": "785-576-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 SW Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061515",
            "country_code": "US",
            "telephone_number": "785-233-5101",
            "fax_number": "785-233-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KRISTIN",
        "middle_name": "DEANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-75745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002197",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200971830A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "JOHNSON",
            "middle_name": "DEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.