Individual provider Active NPI

German Augusto Abarca-Paillacho, DNP

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1205445129
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79526-091 Issued in KS
Practice address
7418 NE Village LN
Pittsburg, KS 66762-8568
Phone
(620) 249-4818
NPI assigned
Jul 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-79526-091 KS Primary

Addresses

Primary practice location

7418 NE Village LN
Pittsburg, KS 66762-8568

Mailing address

7418 NE Village LN
Pittsburg, KS 66762-8568
Phone (620) 249-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1205445129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 NE VILLAGE LN",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628568",
            "telephone_number": "620-249-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 NE VILLAGE LN",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628568",
            "telephone_number": "620-249-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABARCA-PAILLACHO",
        "first_name": "GERMAN",
        "middle_name": "AUGUSTO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79526-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.