Individual provider Active NPI

Tabitha Rae Attreau, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1225211998
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5382358041 Issued in KS
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 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

IdentifierTypeStateIssuer
343229MedicaidKS

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
I20240111002805 KS Practitioner - Nurse Practitioner 0648621870 Reassigns benefits to 3 organizations

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
Psychiatric and Counseling Associates LLCGroup PAC ID 6507881422, 41 clinicians
Level LLCGroup PAC ID 0244634293, 26 clinicians

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

LicenseStateTypeSpecialty
5382358041KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA CurrentSince Dec 17, 2023 Accepting new patients
Level LLC CurrentSince Dec 29, 2023 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.

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

Verify at the official NPI Registry.