Western Plains Physician Practices, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WESTERN PLAINS PHYSICIAN PRACTICES, LLC

Doing business as

Western Plains Primary Care

Practice address

106 North Main Street
Cimarron, KS 67835

Phone

(620) 855-4456

Fax

(620) 855-4459

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jess N Judy

Title

President

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other names 1

• Western Plains Primary Care Doing business as

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1023352374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678010728",
            "telephone_number": "620-855-4456",
            "fax_number": "620-855-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NORTH MAIN STREET",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "67835",
            "telephone_number": "620-855-4456",
            "fax_number": "620-855-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PLAINS PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Plains Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall K Cundiff (Racy's Medical Clinic)
• Shepherd of the Plains Foundation (The Shepherd's Center)
• Usd 102 Cimarron-Ensign
• Jaclyn M Vath, NP
• Western Legacy Physical Therapy, LLC

• Family Nurse Practitioner in Cimarron, KS
• Providers in Cimarron, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.