Abbas Family Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ABBAS FAMILY MEDICINE

Practice address

2508 Edgemont Dr Ste 2
Arkansas City, KS 67005-3844

Phone

(620) 442-7120

NPI assigned

Jul 13, 2021

Last updated

May 2, 2022By 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

Stacey Jervis

Title

Owner

Phone

(620) 442-7120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 3

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.

• Stacy Jervis, FNP-BC, MED, CNRN

  • Family Nurse Practitioner
  • Arkansas City, KS
  • NPI 1538569199
  Medicare reassignment NPD
• Tammy L Cullum, APRN

  • Family Nurse Practitioner
  • Arkansas City, KS
  • NPI 1699309120

  Single Specialty

  NPD
• Jerome Francis Mangen, D.C.

  • Chiropractor
  • Arkansas City, KS
  • NPI 1508961186
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1083286728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670050857",
            "telephone_number": "620-442-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 EDGEMONT DR STE 2",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670053844",
            "telephone_number": "620-442-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBAS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "JERVIS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-442-7120"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles M Abbey, OD
• Stewart L Abbey, OD
• Advanced PT, LLC (Advanced PT Arkansas City)
• Alexander Dixie V
• Ark City Clinic P a

• Family Nurse Practitioner in Arkansas City, KS
• Providers in Arkansas City, 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 May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.