Individual provider Active NPI

Kathleen M Tanona, PA-C

  • Physician Assistant
  • Junction City, KS
National Provider Identifier
1225083363
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01085 Issued in KS
Practice address
1110 Saint Marys Rd
Junction City, KS 66441-4176
Phone
(785) 762-2585
Fax
(785) 210-3438
NPI assigned
May 24, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01085 KS Primary

Addresses

Primary practice location

1110 Saint Marys Rd
Junction City, KS 66441-4176

Mailing address

1110 Saint Marys Rd
Junction City, KS 66441-4176
Phone (785) 762-2585

Other practice location 1

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0047

Other practice location 2

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 270-0047

Other practice location 3

6725 SW 29th St
Topeka, KS 66614-5625
Phone (785) 354-0517

Other practice location 4

1516 SW 6th Ave
Topeka, KS 66606-1696
Phone (785) 270-0047

Other identifiers 2

IdentifierTypeStateIssuer
068002308OtherKSMEDICARE PTAN
200390140DMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ktanona30353@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address ktanona30353@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

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
I20060106000281 KS Practitioner - Physician Assistant 9133142078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 762-2585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01085KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 18, 2023 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 18, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 1, 2015 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 1, 2015 Accepting new patients
Emergency Physicians of Manhattan, LLC Past Accepting new patients

Locations

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1110 Saint Marys Rd
Ste 105
Junction City, KS 66441

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

4505 NW Fielding Rd
Topeka, KS 66618
Phone (785) 270-0047

6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: ktanona30353@stormontvaildirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1225083363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SAINT MARYS RD",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414176",
            "telephone_number": "785-762-2585",
            "fax_number": "785-210-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SAINT MARYS RD",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414176",
            "telephone_number": "785-762-2585",
            "fax_number": "785-210-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 SE Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052189",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-266-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6725 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145625",
            "country_code": "US",
            "telephone_number": "785-354-0517",
            "fax_number": "785-478-1508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANONA",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002308",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200390140D",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktanona30353@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2909 SE Walnut Dr",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666052189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktanona30353@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2909 SE Walnut Dr",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666052189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

Verify at the official NPI Registry.