Individual provider Active NPI

Kim Cross, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1285748889
Registry record updated Jul 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 2275 Issued in KS
Practice address
7777 E Osie St
Ste. 310
Wichita, KS 67207-3106
Phone
(316) 688-9850
Fax
(316) 448-0332
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW 2275 KS Primary

Addresses

Primary practice location

7777 E Osie St
Ste. 310
Wichita, KS 67207-3106

Mailing address

7777 E Osie St
Ste. 310
Wichita, KS 67207-3106
Phone (316) 688-9850

Other identifiers 3

IdentifierTypeStateIssuer
070781OtherKSBCBS
12313OtherKSPPK/PHS
200357890BMedicaidKS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 2275KSMDClinical Social Worker
2275KSMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374364800000",
    "number": "1285748889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 E OSIE ST",
            "address_2": "STE. 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073106",
            "telephone_number": "316-688-9850",
            "fax_number": "316-448-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 E OSIE ST",
            "address_2": "STE. 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073106",
            "telephone_number": "316-688-9850",
            "fax_number": "316-448-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 2275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "070781",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPK/PHS",
            "identifier": "12313",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200357890B",
            "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 Jul 21, 2013; 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.