Organization Active NPI

Health Care Associates of Southeast Kansas, LLC

  • Family Nurse Practitioner
  • Coffeyville, KS
National Provider Identifier
1104819176
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44088 Issued in KS
Legal business name
HEALTH CARE ASSOCIATES OF SOUTHEAST KANSAS, LLC
Practice address
2205 W 8TH St
Coffeyville, KS 67337-2936
Phone
(620) 251-6668
Fax
(620) 251-6675
NPI assigned
Aug 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. Barry Curtis Phillips, ARNP
Title
Nurse Practitioner/Owner
Phone
(602) 251-6668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 44088 KS Primary

Addresses

Primary practice location

2205 W 8TH St
Coffeyville, KS 67337-2936

Mailing address

2205 W 8TH St
Coffeyville, KS 67337-2936
Phone (620) 251-6668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1104819176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673372936",
            "telephone_number": "620-251-6668",
            "fax_number": "620-251-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673372936",
            "telephone_number": "620-251-6668",
            "fax_number": "620-251-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE ASSOCIATES OF SOUTHEAST KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "602-251-6668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.