Active NPI
Tabitha Rae Attreau, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5382358041
- Practice address
- 7829 E Rockhill St Ste 105
Wichita, KS 67206-3919 - Phone
- (316) 221-5545
- NPI assigned
- Dec 17, 2007
- Last updated
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5382358041 | KS | Primary |
Addresses
Primary practice location
7829 E Rockhill St Ste 105
Wichita, KS 67206-3919
Mailing address
411 N Washington St,
Apt, Suite, Floor, Etc.
El Dorado, KS 67042-2037
Phone (316) 323-0850
Other practice location 1
345 N Riverview St Ste 730
Wichita, KS 67203-4267
Phone (316) 202-2110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343229 | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1855 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2888
345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5382358041 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Associates PA | Current | Accepting new patients | |
| Level LLC | Current | Accepting new patients | |
| Dermatology and Skin Cancer Specialists, LLC | Past | Accepting new patients |
Locations
930 Iowa St
Ste 4
Lawrence, KS 66044
Phone (316) 202-2110
8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553
2955 SW Wanamaker Dr
Ste B
Topeka, KS 66614
Phone (785) 221-2755
345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110
9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110
Organizations & group practices 4
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.
-
dba LifeStance Health
- Behavioral Neurology & Neuropsychiatry Physician
- Overland Park, KS
- NPI 1114096385
-
- Specialist
- Lenexa, KS
- NPI 1477588085
-
- Dermatology Physician
- Leawood, KS
- NPI 1205880846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1225211998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N WASHINGTON ST,",
"address_2": "APT, SUITE, FLOOR, ETC.",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670422037",
"telephone_number": "316-323-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7829 E ROCKHILL ST STE 105",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063919",
"telephone_number": "316-221-5545"
}
],
"practiceLocations": [
{
"address_1": "345 N Riverview St Ste 730",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672034267",
"country_code": "US",
"telephone_number": "316-202-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATTREAU",
"first_name": "TABITHA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2024-01-02",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "5382358041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343229",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.