Active NPI
Joanne Velez, OWNER
- Home Health Agency
- Wichita, KS
National Provider Identifier
1245568625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A087136
- Practice address
- 711 S Main
Wichita, KS 67213 - Phone
- (316) 204-9005
- Fax
- (316) 263-3817
- NPI assigned
- Nov 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A087136 | KS | Primary |
Addresses
Primary practice location
711 S Main
Wichita, KS 67213
Mailing address
711 S Main
Wichita, KS 67213
Phone (316) 204-9005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200624480B | Medicaid | KS | |
| 200624480A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A087136 | KS | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1245568625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S MAIN",
"city": "WICHITA",
"state": "KS",
"postal_code": "67213",
"telephone_number": "316-204-9005",
"fax_number": "316-263-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S MAIN",
"city": "WICHITA",
"state": "KS",
"postal_code": "67213",
"telephone_number": "316-204-9005",
"fax_number": "316-263-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A087136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200624480B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200624480A",
"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 Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.