Individual provider Active NPI

Lynlea Dawn Southards

  • Case Manager/Care Coordinator
  • Wichita, KS
National Provider Identifier
1023422755
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
8700 E 29TH St N
Wichita, KS 67226-2169
Phone
(316) 634-8710
Fax
(316) 634-8891
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

8700 E 29TH St N
Wichita, KS 67226-2169

Mailing address

803 Old Farm Estates Rd Apt a
Hutchinson, KS 67502-3487
Phone (316) 634-8710

Other names 1

  • Lynlea Dawn Teufel Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1023422755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 OLD FARM ESTATES RD APT A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675023487",
            "telephone_number": "316-634-8710",
            "fax_number": "316-634-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E 29TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262169",
            "telephone_number": "316-634-8710",
            "fax_number": "316-634-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARDS",
        "first_name": "LYNLEA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNLEA",
            "last_name": "TEUFEL",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.