Organization Active NPI

Spirits Healing Souls LLC

  • Community Health Worker
  • El Dorado, KS
National Provider Identifier
1043769359
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SPIRITS HEALING SOULS LLC
Practice address
1880 SE Cole Creek Rd
El Dorado, KS 67042-9109
Phone
(316) 641-4403
NPI assigned
Sep 27, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Donna L MayfieldNPI 1275981771
Title
Owner
Phone
(316) 641-4403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

1880 SE Cole Creek Rd
El Dorado, KS 67042-9109

Mailing address

1880 SE Cole Creek Rd
El Dorado, KS 67042-9109
Phone (316) 641-4403

Other identifiers 2

IdentifierTypeStateIssuer
172V00000XOtherKSCOMMUNITY MENTAL HEALTH CENTER
171000000XOtherKSCOMMUNITY MENTAL HEALTH CENTER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1043769359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SE COLE CREEK RD",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670429109",
            "telephone_number": "316-641-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SE COLE CREEK RD",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670429109",
            "telephone_number": "316-641-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITS HEALING SOULS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-641-4403"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY MENTAL HEALTH CENTER",
            "identifier": "172V00000X",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY MENTAL HEALTH CENTER",
            "identifier": "171000000X",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.