Jennifer Talamantes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-0906 Issued in KS

Practice address

11338 W 63Rd St
Shawnee, KS 66203-3336

Phone

(913) 248-8000

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1295280683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11338 W 63RD ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033336",
            "telephone_number": "913-248-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11338 W 63RD ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033336",
            "telephone_number": "913-248-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAMANTES",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-0906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tan H. Van, DDS, P.a.
• Tao LLC
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• Shamayne Tate, L.AC.
• Tarah Tavis

• Medical Physician Assistant in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.