NPIMap

Organization Active NPI

Turner House Clinic Inc

Doing business as Vibrant Health

  • Women's Health Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1235844614
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
TURNER HOUSE CLINIC INC
Doing business as
Vibrant Health
Practice address
21 N 12TH St Ste 350
Kansas City, KS 66102-5172
Phone
(913) 342-2552
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Jeremy M Greene
Title
Director of Revenue Cycle
Phone
(913) 342-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

21 N 12TH St Ste 350
Kansas City, KS 66102-5172

Mailing address

21 N 12TH St Ste 300
Kansas City, KS 66102-5105
Phone (913) 342-2552

Other names 1

  • Vibrant Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230203001667 KS Part A Provider - Federally Qualified Health Center (FQHC) 9739447921 Practice locations: Kansas City, KS
O20250812001752 KS Part B Supplier - Clinic/Group Practice 9739447921 Receives reassigned benefits from 14 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235844614. Details of each certification follow.

Federally qualified health center certification: CCN 171003

Legal name
TURNER HOUSE CLINIC INC
Doing business as
VIBRANT HEALTH - SUITE 350
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 3, 2023
Last certification
Feb 3, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1994 in KS
Enrollment address
21 N 12TH St
Ste 350
Kansas City, KS 66102-5172

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Turner House Clinic Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deryl Wynn Individual Corporate Director Jan 1, 2023
Tracy Lynn Lockton Individual Corporate Director Jan 1, 2023
Patrick Sallee Individual Corporate OfficerCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Cynthia a. Finter Individual Corporate Director Jan 1, 2023
Charles Smith Individual Corporate OfficerCfo Jan 1, 2023
W-2 Managing EmployeeCfo Jan 1, 2023

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vibrant HealthKansas City, KS, CCN 171877 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2018
Vibrant Health - Children's CampusKansas City, KS, CCN 171881 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2018
Vibrant Health - Argentine MsKansas City, KS, CCN 171884 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 26, 2018
Aug 26, 2018
Vibrant Health - Wyandotte HSKansas City, KS, CCN 171894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 3, 2019
Mar 3, 2019
Vibrant Health - Cordell MeeksKansas City, KS, CCN 171899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 4, 2021
Apr 4, 2021
Vibrant Health - Suite 200Kansas City, KS, CCN 171898 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 4, 2021
Vibrant Health - Oak GroveKansas City, KS, CCN 171901 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 24, 2021
Jun 24, 2021
Vibrant Health - DentalKansas City, KS, CCN 171904 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2021
Sep 1, 2021
Vibrant Health - Ste 110Kansas City, KS, CCN 171912 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Vibrant Health - Washington HSKansas City, KS, CCN 171913 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Turner House Clinic Inc

    dba Vibrant Health - Oak Grove Elementary School

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1164096301

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Wyandotte Community Health Center - Wyandotte High School

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1235794710

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Central, #200

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1285226357

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Turner House Clinic Inc
    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1285369355

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Turner House Clinic Inc

    dba Wyandotte Community Health Center - CCKC

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1386158335

    Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Cordell D. Meeks, Jr. Clinic

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1417547530

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - STE 110

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1558029942

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1609380401

    Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Wyandotte Neighborhood Clinics

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1730669664

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Dental

    • Dental Clinic/Center
    • Kansas City, KS
    • NPI 1780256891

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1235844614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 300",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025105",
            "telephone_number": "913-342-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 350",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "913-342-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNER HOUSE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "913-342-2552"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.