Organization Active NPI

Independence Inc

  • Voluntary or Charitable Agency
  • Lawrence, KS
National Provider Identifier
1275749491
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
INDEPENDENCE INC
Practice address
2001 Haskell Avenue
Lawrence, KS 66046
Phone
(785) 841-0333
Fax
(785) 841-1094
NPI assigned
May 15, 2007
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Ms. Jill Alane Enyart
Title
Co Executive Director
Phone
(785) 841-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

2001 Haskell Avenue
Lawrence, KS 66046

Mailing address

2001 Haskell Avenue
Lawrence, KS 66046
Phone (785) 841-0333

Other identifiers 1

IdentifierTypeStateIssuer
100008680AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1275749491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HASKELL AVENUE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "785-841-0333",
            "fax_number": "785-841-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HASKELL AVENUE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "785-841-0333",
            "fax_number": "785-841-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "ENYART",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ALANE",
        "authorized_official_title_or_position": "CO EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-841-0333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008680A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.