Individual provider Active NPI

Anucia Sivaratnam Joseph, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission, KS
National Provider Identifier
1174809941
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
261QM0801X Issued in KS
Practice address
6000 Lamar Ave
Suite 130
Mission, KS 66202-3234
Phone
(913) 826-1537
Fax
(913) 826-1594
NPI assigned
Oct 25, 2011
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 261QM0801X KS Primary

Addresses

Primary practice location

6000 Lamar Ave
Suite 130
Mission, KS 66202-3234

Mailing address

6315 Cooper St
Shawnee, KS 66218-9222
Phone (913) 568-4373

Other identifiers 1

IdentifierTypeStateIssuer
1174513444OtherKSJCMHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000306 KS Practitioner - Nurse Practitioner 5395912828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6440 Nieman Rd
Shawnee, KS 66203-3326
Phone (913) 826-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
261QM0801XKSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Mental Health Center CurrentSince Oct 1, 2015 Accepting new patients
Johnson County Mental Health Center Past Accepting new patients

Locations

6000 Lamar Ave
#130
Mission, KS 66202
Phone (913) 826-4200

1125 W Spruce St
Olathe, KS 66061
Phone (913) 782-2100

920 W Spruce St
Olathe, KS 66061
Phone (913) 826-4200

11120 W 65th St
Shawnee, KS 66203
Phone (913) 826-4100

6440 Nieman Rd
Shawnee, KS 66203
Phone (913) 826-4200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1174809941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 COOPER ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189222",
            "telephone_number": "913-568-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE",
            "address_2": "SUITE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-826-1537",
            "fax_number": "913-826-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ANUCIA",
        "middle_name": "SIVARATNAM",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCMHC",
            "identifier": "1174513444",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.