Thereasa Ilene Stewart, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-75593-071 Issued in KS

Practice address

1507 Sunset Dr
Wamego, KS 66547-1175

Phone

(785) 456-9019

NPI assigned

Dec 5, 2011

Last updated

Jun 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1285902379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 SUNSET DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471175",
            "telephone_number": "785-456-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 SUNSET DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471175",
            "telephone_number": "785-456-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "THEREASA",
        "middle_name": "ILENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75593-071",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-75442-071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Schmitt, LMSW
• Angela Seward, LMSW
• Paula Shelley, M.S. CCC-SLP
• Sleep Better Kansas LLC
• Todd W Spilker, DC
• T.S.C.C. Inc
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan - Wamego)
• Three Rivers, Inc.
• Jody S Toerber-Clark, FNP PMHNP
• Katherine Carroll Toluba, OTR/L

• Family Nurse Practitioner in Wamego, KS
• Providers in Wamego, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.