Active NPI
Donna Mayfield
- Behavior Analyst
- El Dorado, KS
National Provider Identifier
1275981771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1880 SE Cole Creek Rd
El Dorado, KS 67042-9109 - Phone
- (316) 641-4403
- NPI assigned
- May 25, 2016
- Last updated
- Sep 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | ||
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
1880 SE Cole Creek Rd
El Dorado, KS 67042-9109
Mailing address
1880 SE Cole Creek Rd
El Dorado, KS 67042-9109
Phone (316) 641-4403
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172V00000X | Other | COMMUNITY MENTAL HEALTH CENTER | |
| 171000000X | Other | COMMUNITY MENTAL HEALTH CENTER | |
| 461928417 | Other | KS | BEHAVIOR HEALTH PROVIDER IN THE COMMUNITY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirits Healing Souls LLC | Community Health Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Worker
- El Dorado, KS
- NPI 1043769359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1275981771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 SE COLE CREEK RD",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670429109",
"telephone_number": "316-641-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 SE COLE CREEK RD",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670429109",
"telephone_number": "316-641-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYFIELD",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY MENTAL HEALTH CENTER",
"identifier": "172V00000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY MENTAL HEALTH CENTER",
"identifier": "171000000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR HEALTH PROVIDER IN THE COMMUNITY",
"identifier": "461928417",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.