Active NPI
Deirdrea Rust, LMSW
- Social Worker
- Winfield, KS
National Provider Identifier
1144898115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11027
- Practice address
- 210 E 9TH Ave
Winfield, KS 67156-2818 - Phone
- (620) 647-4571
- Fax
- (620) 634-0359
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | 11027 | KS | Primary |
Addresses
Primary practice location
210 E 9TH Ave
Winfield, KS 67156-2818
Mailing address
210 E 9TH Ave
Winfield, KS 67156-2818
Phone (620) 647-4571
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11027 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1144898115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 9TH AVE",
"city": "WINFIELD",
"state": "KS",
"postal_code": "671562818",
"telephone_number": "620-647-4571",
"fax_number": "620-634-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 9TH AVE",
"city": "WINFIELD",
"state": "KS",
"postal_code": "671562818",
"telephone_number": "620-647-4571",
"fax_number": "620-634-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "DEIRDREA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "11027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winfield, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.