Maryon Joyce Habtemariam, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

74269 Issued in KS

Practice address

1515 S Clifton Ave
Suite 201
Wichita, KS 67218-2900

Phone

(316) 687-9961

Fax

(316) 687-6561

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Charles W Beck, MD, PA

  • Interventional Cardiology Physician
  • Wichita, KS
  • NPI 1780610261
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1124063409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N PERSHING ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202909",
            "telephone_number": "316-250-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "SUITE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-687-9961",
            "fax_number": "316-687-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTEMARIAM",
        "first_name": "MARYON",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "74269",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "74269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Habashy
• Shawky Habashy, MD
• Angie Haberichter, LMSW
• Ann B Haberly, PTA
• Parker S Haberly, PHD
• Hac Inc
• Hac Inc
• Hac Inc
• Hac Inc
• Hac Inc

• Adult Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.