Individual provider Active NPI

Tina Rae Jecha, RN

  • General Practice Registered Nurse
  • Hays, KS
National Provider Identifier
1114801016
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
13-155197-071 Issued in KS
Practice address
2220 Canterbury Dr
Hays, KS 67601-2370
Phone
(785) 261-7123
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 13-155197-071 KS Primary

Addresses

Primary practice location

2220 Canterbury Dr
Hays, KS 67601-2370

Mailing address

500 Main St
Liebenthal, KS 67553-5331
Phone (720) 345-7706

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13-155197-071KSMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1114801016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "LIEBENTHAL",
            "state": "KS",
            "postal_code": "675535331",
            "telephone_number": "720-345-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-261-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JECHA",
        "first_name": "TINA",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KS",
            "license": "13-155197-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.