Individual provider Active NPI

Kathryn Nicole Busby-Jordan, BSW, MSW

  • Social Worker
  • Manhattan, KS
National Provider Identifier
1073355814
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13664-T Issued in KS
Practice address
104 S 4TH St Ste 203
Manhattan, KS 66502-6957
Phone
(785) 370-9355
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13664-T KS Primary

Addresses

Primary practice location

104 S 4TH St Ste 203
Manhattan, KS 66502-6957

Mailing address

104 S 4TH St Ste 203
Manhattan, KS 66502-6957
Phone (785) 473-8970

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

State licenses

LicenseStateTypeSpecialty
13664-TKSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MHK Therapy, LLC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1073355814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S 4TH ST STE 203",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026957",
            "telephone_number": "785-473-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 4TH ST STE 203",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026957",
            "telephone_number": "785-370-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY-JORDAN",
        "first_name": "KATHRYN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "BSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "13664-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.