Mary Magathan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1326921-032 Issued in KS

Legal business name

MARY MAGATHAN

Practice address

670 B, Rd 170
Cedar Point, KS 66843

Phone

(620) 274-4280

Fax

(620) 274-4439

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary Magathan, BSN, RNC, ARNP, CCM

Title

Coordinator

Phone

(620) 274-4280

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kid-Screen, L.C. Doing business as

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1013902840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 B, RD 170",
            "city": "CEDAR POINT",
            "state": "KS",
            "postal_code": "66843",
            "telephone_number": "620-274-4280",
            "fax_number": "620-274-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 B, RD 170",
            "city": "CEDAR POINT",
            "state": "KS",
            "postal_code": "66843",
            "telephone_number": "620-274-4280",
            "fax_number": "620-274-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MAGATHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGATHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "620-274-4280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RNC, ARNP, CCM"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "1326921-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246810A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "044923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kid-Screen, L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.