Active NPI
Health Care Associates of Southeast Kansas, LLC
- Family Nurse Practitioner
- Coffeyville, KS
National Provider Identifier
1104819176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 44088
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryNPI 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.